Individual
MATTHEW J DESALVO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
809 82ND PKWY, MYRTLE BEACH, SC 29572-4607
(843) 497-5929
(843) 497-9940
Mailing address
4615 OLEANDER DR, MYRTLE BEACH, SC 29577-5741
(843) 497-5929
(843) 497-9940
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
27524
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
275240
—
SC
Enumeration date
06/24/2005
Last updated
11/19/2013
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