Carson, Matthew Drayton

Carson, Matthew Drayton is an individual health care provider with primary practice located at 1210 W Faris Rd , Greenville SC 29605-4444. He recently has only one registered license in Allopathic & Osteopathic Physicians / Nuclear Radiology, which is considered as his primary health care specialty. Carson, Matthew Drayton can be contacted via phone (864) 295-4410.

Contact Information

Primary practice address
1210 W Faris Rd Greenville SC 29605-4444
Phone: (864) 295-4410
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Nuclear Radiology 2085N0904X 7131 South Carolina

Profile Details

NPI number 1164493292
LBN Legal business name Carson, Matthew Drayton
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 27th, 2006
Last updated May 7th, 2014 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1164493292 NPPES
South Carolina MEDICAID 071317

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