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Organization

SURGICAL SPECIALISTS OF WACCAMAW, LLC

Active
Other names
Waccamaw Surgery, LLC
Organization subpart
No

Provider details

NPI number
Authorized official
DR. MATTHEW J METZ MD (PHYSICIAN)
(843) 652-8390
Entity
Organization

Contact information

Practice address
4367 RIVERWOOD DRIVE, SUITE 130, MURRELLS INLET, SC 29440
(843) 652-8390
(843) 652-8399
Mailing address
4367 RIVERWOOD DRIVE, SUITE 130, MURRELLS INLET, SC 29440
(843) 652-8390
(843) 652-8399

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
26036
SC
208600000X
Surgery Physician

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
GP5888
SC
Enumeration date
03/16/2012
Last updated
06/19/2012
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