Marcus, Matthew

Marcus, Matthew is an individual health care provider with primary practice located at 1210 W Faris Rd , Greenville SC 29605-4444. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Diagnostic Radiology, Allopathic & Osteopathic Physicians / Pediatric Radiology. Allopathic & Osteopathic Physicians / Pediatric Radiology is his primary health care specialty. Marcus, Matthew can be contacted via phone (864) 522-1800.

Contact Information

Primary practice address
1210 W Faris Rd Greenville SC 29605-4444
Phone: (864) 522-1800
Fax: (864) 522-1806
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 30321 South Carolina
Allopathic & Osteopathic Physicians / Pediatric Radiology 2085P0229X 30321 South Carolina
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 11731 Rhode Island

Profile Details

NPI number 1518937143
LBN Legal business name Marcus, Matthew
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 25th, 2006
Last updated May 6th, 2021 - about 5 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 1518937143 NPPES
South Carolina MEDICAID 303219
South Carolina Other AA31230
South Carolina Other 1988
South Carolina Other 3961166
South Carolina Other 412707
South Carolina Other 2101408
South Carolina Other 7057523
South Carolina MEDICAID 007057522
South Carolina Other 9385123
South Carolina Other 1988

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