Individual
DR. KAREN FISHER MATTOCKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
3010 FARROW RD, SUITE 300, COLUMBIA, SC 29203-7607
(803) 434-1210
(803) 434-1212
Mailing address
PO BOX 743904, ATLANTA, GA 30374-3904
(803) 296-7320
(803) 296-7330
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
20030
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200302
—
SC
Enumeration date
04/25/2006
Last updated
06/12/2019
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