MATTHEW C WALLEN

MONCKS CORNER, SC
NPI1962442921
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207P00000X Emergency Medicine
(Licence: SC  023720)
Enumeration Date2006-06-07
Last Update Date2009-04-21
Business Address
-- MATTHEW C WALLEN MD
401 NORTH LIVE OAK DRIVE
MONCKS CORNER, SC 29461
Phone number: 843-761-8721
Mailing Address
-- MATTHEW C WALLEN MD
PO BOX 11450
WESTMINSTER, CA 92685
Phone number: 800-509-8102