Individual
MATTHEW BENNIE WINGATE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
200 UNIVERSITY RDG, GREENVILLE, SC 29601-3635
(864) 282-4100
Mailing address
200 UNIVERSITY RDG, GREENVILLE, SC 29601-3635
Taxonomy
Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
Primary
259892
SC
Other
Enumeration date
06/17/2021
Last updated
06/17/2021
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