Individual
MATTHEW JAMES MATIKO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
7 INDEPENDENCE PT STE 300, GREENVILLE, SC 29615-4569
(864) 522-3700
(864) 522-3705
Mailing address
300 E MCBEE AVE STE 300, GREENVILLE, SC 29601-2899
(864) 522-8611
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
92910
SC
207L00000X
Anesthesiology Physician
A113918
CA
207L00000X
Anesthesiology Physician
U5016
TX
Other
Enumeration date
05/02/2011
Last updated
01/10/2025
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