Individual
DR. MATTHEW WADE BICKFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1520 BOILING SPRINGS RD, BOILING SPRINGS, SC 29316-5121
(864) 505-6060
Mailing address
1520 BOILING SPRINGS RD, BOILING SPRINGS, SC 29316-5121
(864) 505-6060
(843) 876-7111
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
LL82611
SC
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/20/2019
Last updated
07/02/2024
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