Individual
DR. MATTHEW BRADLEY NEAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
701 GROVE RD FL 1, GREENVILLE, SC 29605-4210
(864) 455-7899
(864) 455-5474
Mailing address
300 E MCBEE AVE FL 4, GREENVILLE, SC 29601-2842
(864) 522-8603
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
56199
TN
207PP0204X
Pediatric Emergency Medicine (Emergency Medicine) Physician
2024038922
MO
207PP0204X
Pediatric Emergency Medicine (Emergency Medicine) Physician
38200
SC
208000000X
Pediatrics Physician
2012-00845
NC
208000000X
Pediatrics Physician
38200
SC
2080P0204X
Pediatric Emergency Medicine (Pediatrics) Physician
38200
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1740414002
—
NC
05
—
NC1638
—
SC
Enumeration date
05/14/2009
Last updated
11/22/2024
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