Individual
GRETCHEN WILLIAMS MATHIAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
200 PATEWOOD DR, STE A120, GREENVILLE, SC 29615-3593
(864) 454-2670
Mailing address
1 INDEPENDENCE PT, SUITE 212, GREENVILLE, SC 29615-4545
(864) 797-6044
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
27078
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
270780
—
SC
Enumeration date
06/28/2006
Last updated
04/22/2013
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