Individual
NICHOLAS MATTHEW CUNDIFF
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
99 BRIDGETOWN RD, GOOSE CREEK, SC 29445-5359
(843) 572-3300
(843) 797-3331
Mailing address
8906 TWO NOTCH RD, COLUMBIA, SC 29223-6366
(803) 254-3676
(803) 254-3678
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
41060
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
910759
—
SC
Enumeration date
06/15/2017
Last updated
04/22/2025
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