Individual
MATTHEW MICHAEL COUSINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1325 SPRING ST, GREENWOOD, SC 29646-3860
(864) 725-7100
(864) 725-7101
Mailing address
1325 SPRING ST, GREENWOOD, SC 29646-3860
(864) 725-7100
(864) 725-7101
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
86878
SC
Other
Enumeration date
04/19/2017
Last updated
09/08/2022
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