Clary, Matthew Todd

Clary, Matthew Todd is an individual health care provider with primary practice located at 1655 Bernardin Ave Suite 100, Columbia SC 29204-2039. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Clary, Matthew Todd can be contacted via phone (803) 256-0641.

Contact Information

Primary practice address
1655 Bernardin Ave Suite 100 Columbia SC 29204-2039
Phone: (803) 256-0641
Fax: (803) 779-3649
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X 26942 South Carolina

Profile Details

NPI number 1538345004
LBN Legal business name Clary, Matthew Todd
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 15th, 2008
Last updated Aug 22nd, 2008 - about 17 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 1538345004 NPPES
South Carolina MEDICAID PA2755

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