Individual
MATTHEW S GEORGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
100 HEALTHY WAY, SUITE 1240, ANDERSON, SC 29621-7917
(864) 225-8671
(864) 225-1561
Mailing address
100 HEALTH WAY, SUITE 1240, ANDERSON, SC 29621-7917
(864) 225-8671
(864) 225-1561
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
25329
SC
2086S0129X
Vascular Surgery Physician
Primary
25329
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
253291
—
SC
01
—
P01078668
RR MEDICARE
SC
05
—
PC1280
—
SC
Enumeration date
03/01/2007
Last updated
08/07/2015
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