person
Matthew Kenneth Fabyanic, PA-C
Surgical Physician Assistant in Charleston, South Carolina
NPI 1629049697

Matthew Kenneth Fabyanic is a Surgical Physician Assistant based in Charlotte, SC and is specialized in Surgical. Matthew Kenneth Fabyanic practices in Charleston, SC and has the professional credentials of PA-C. The NPI Number for Matthew Kenneth Fabyanic is 1629049697 and holds a License No. 2242 (South Carolina).

The current practice location address for Matthew Kenneth Fabyanic is 2093 Henry Tecklenburg Dr Ste 200E, Charleston, SC and can be reached out via phone at 843-958-2500.

Location: 2093 Henry Tecklenburg Dr Ste 200E, Charleston, SC, 28275-1649
person
Provider Profile Details
NPI Number
1629049697
Provider Name
Matthew Kenneth Fabyanic
Credential
PA-C
Provider Entity Type
Individual
Gender
Male
Address
2093 Henry Tecklenburg Dr Ste 200E, Charleston, SC, 28275-1649
Phone Number
843-958-2500
Fax Number
Provider Enumeration Date
01/30/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
2082PA 05 SC
institution
Provider Business Practice Location Address Details
Address
2093 Henry Tecklenburg Dr Ste 200E
City
State
Zip
29414-5742
Phone Number
843-958-2500
Fax Number
person
Provider Business Mailing Address Details
Address
2093 Henry Tecklenburg Dr Ste 200E
City
State
Zip
29414-5742
Phone Number
843-958-2500
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Surgical
Taxonomy
License No.
2242 (South Carolina)
Definition
Definition to come...
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