SearchSouth Carolina1223S0112X

Matthew Pham

NPI 1700263779 · on the registry since 2015 · sole proprietor

Practice

Address
3573 Sunset Blvd
West Columbia, SC 29169
Phone
(803) 973-4530
Clinicians at this address
3

Registry record

Primary taxonomy
1223S0112X
1223S0112X
Licence states on file
SC
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2024-11-22

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in South Carolina