| NPI | 1790759520 |
|---|---|
| Doing Business As | ST MATTHEWS FAMILY PRACTICE |
| Entity Type | Organization |
| Authorized Contact | TERRELL L STONE Owner 803-874-3902 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: SC 42D0916819) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: SC 13583) |
| Enumeration Date | 2006-02-16 |
| Last Update Date | 2008-06-30 |