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1962442921
MATTHEW C WALLEN
MONCKS CORNER, SC
NPI
1962442921
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207P00000X Emergency Medicine
(Licence: SC 023720)
Enumeration Date
2006-06-07
Last Update Date
2009-04-21
Business Address
-- MATTHEW C WALLEN MD
401 NORTH LIVE OAK DRIVE
MONCKS CORNER, SC 29461
Phone number: 843-761-8721
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Mailing Address
-- MATTHEW C WALLEN MD
PO BOX 11450
WESTMINSTER, CA 92685
Phone number: 800-509-8102
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