Most Relevant Information
Provider Data
| NPI Number: | 1003556226 |
| Provider Name: | MATA ADAMS |
| Entity Type: | Individual |
| Taxonomy Code: | 208000000X |
| Specialty: | Pediatrics |
| License Number: | LL87517 |
Most Important Dates
| Enumeration Date: | 03/29/2022 |
| Last Updated: | 07/07/2022 |
Provider Practice Location
701 GROVE RD
GREENVILLE
SC
296054210
Practice Location Phone/Fax
| Phone: | 8644557895 |
| Fax: |
Provider Mailing Location
701 GROVE RD
GREENVILLE
SC
296054210
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |
Suggested EMR
Pediatrics EMR