Most Relevant Information
Provider Data
| NPI Number: | 1003547068 |
| Provider Name: | TERESA MATTHEWS |
| Entity Type: | Individual |
| Taxonomy Code: | 156FX1800X |
| Specialty: | Technician/Technologist |
| License Number: | 938 |
Most Important Dates
| Enumeration Date: | 06/21/2022 |
| Last Updated: | 06/21/2022 |
Provider Practice Location
10048 CHARLOTTE HWY
INDIAN LAND
SC
297077135
Practice Location Phone/Fax
| Phone: | 8035486622 |
| Fax: | 8033969689 |
Provider Mailing Location
10048 CHARLOTTE HWY
INDIAN LAND
SC
297077135
Provider Mailing Phone/Fax
| Phone: | 8035486622 |
| Fax: | 8033969689 |