DR. M.D. Mark A. Mataosky, NPI 1699720821
Cardiovascular Disease Physician in Ladson, SC, US

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NPI number: what is it?

The NPI, or National Provider Identifier, is a non-repeatable number for health care providers. The NPI always consists of 10 digits and is used for administrative and financial procedures. The NPI wa...

NPI 1699720821
NPI Entity Type Individual
Provider Name DR. M.D. Mark A. Mataosky
Enumeration Date September 30, 2009
Last Update Date September 30, 2009
Provider Location Address 3601 Ladson Rd Ste 100, Ladson, SC, US
Provider Mailing Address 3601 Ladson Rd Ste 100, Ladson, SC, US, 294564304
Is Sole Proprietor? No
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Primary Taxonomy

Taxonomy Code

207RC0000X

Taxonomy Name Cardiovascular Disease Physician
Classification

Internal Medicine

Group

Allopathic & Osteopathic Physicians

License No. 26990
License State SC
Description An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.

Business Address

DR. M.D. Mark A. Mataosky
3601 Ladson Rd Ste 100

Ladson, SC, US

Phone: 843-797-7700
Fax: 843-797-1271

Mailing Address

DR. M.D. Mark A. Mataosky
3601 Ladson Rd Ste 100
Ladson, SC, US
ZIP 294564304
Phone: 843-285-2500
Fax: 843-285-2505

Other Identifiers

Identifier Identifier State Identifier Issuer Type/Code
PA4833 SC MEDICAID 05
26990 SC LICENSE # 01
BM7669887 SC DEA # 01

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