Most Relevant Information
Provider Data
| NPI Number: | 1003453424 |
| Provider Name: | MATTHEW FISCHER |
| Entity Type: | Individual |
| Taxonomy Code: | 363L00000X |
| Specialty: | Nurse Practitioner |
| License Number: | 22900 |
Most Important Dates
| Enumeration Date: | 12/04/2019 |
| Last Updated: | 04/13/2022 |
Provider Practice Location
255 ENTERPRISE BLVD STE 101
GREENVILLE
SC
296153530
Practice Location Phone/Fax
| Phone: | 8644548120 |
| Fax: | 8644548125 |
Provider Mailing Location
300 E MCBEE AVE FL 4
GREENVILLE
SC
296012842
Provider Mailing Phone/Fax
| Phone: | 8645228603 |
| Fax: |