person
Myrna L. Mattos, RN
General Practice Physician in Columbia, South Carolina
NPI 1619140340

Myrna L. Mattos is a General Practice Physician based in Columbia, SC. Myrna L. Mattos practices in Columbia, SC and has the professional credentials of RN. The NPI Number for Myrna L. Mattos is 1619140340 and holds a License No. R106388 (South Carolina).

The current practice location address for Myrna L. Mattos is 1409 Devine Street, Columbia, SC and can be reached out via phone at 803-777-3658 and via fax at 803-777-0126. You can also correspond with Myrna L. Mattos through the mailing address at 1409 DEVINE STREET, COLUMBIA, SC - 29208-0001 (mailing address contact number: 803-777-3658).

Location: 1409 Devine Street, Columbia, SC, 29208-0001
person
Provider Profile Details
NPI Number
1619140340
Provider Name
Myrna L. Mattos
Credential
RN
Provider Entity Type
Individual
Gender
Female
Address
1409 Devine Street, Columbia, SC, 29208-0001
Phone Number
803-777-3658
Fax Number
803-777-0126
Provider Enumeration Date
04/02/2008
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1409 Devine Street
City
State
Zip
29208-0001
Phone Number
803-777-3658
Fax Number
803-777-0126
person
Provider Business Mailing Address Details
Address
1409 Devine Street
City
State
Zip
29208-0001
Phone Number
803-777-3658
Fax Number
803-777-0126
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
General Practice
Speciality
-
Taxonomy
License No.
R106388 (South Carolina)
Definition
Definition to come...
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