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1629049697
MATTHEW KENNETH FABYANIC
CHARLESTON, SC
NPI
1629049697
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363AS0400X Physician Assistant, Surgical
(Licence: SC 2242)
Enumeration Date
2006-01-30
Last Update Date
2023-01-31
Business Address
MATTHEW KENNETH FABYANIC PA-C
2093 HENRY TECKLENBURG DR STE 200E
CHARLESTON, SC 29414-5742
Phone number: 843-958-2500
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Mailing Address
MATTHEW KENNETH FABYANIC PA-C
PO BOX 751649
CHARLOTTE, NC 28275-1649
Phone number: 843-789-1620
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