Individual
DR. MATTHEW DALE CHETTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
200 PATEWOOD DR STE B480, GREENVILLE, SC 29615-6327
(864) 454-4570
(864) 454-4575
Mailing address
300 E MCBEE AVE FL 4, GREENVILLE, SC 29601-2842
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
35134127
OH
208200000X
Plastic Surgery Physician
Primary
88707
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0322265
—
OH
05
—
PENDING
—
SC
Enumeration date
06/26/2009
Last updated
11/15/2022
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