Graham, Matthew Timothy
Graham, Matthew Timothy is an individual health care provider with primary practice located at 3 Saint Francis Dr Ste 360 , Greenville SC 29601-3972. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Diagnostic Radiology, Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology. Allopathic & Osteopathic Physicians / Diagnostic Radiology is his primary health care specialty. Graham, Matthew Timothy can be contacted via phone (864) 233-4349.Contact Information
Primary practice address
3 Saint Francis Dr Ste 360
Greenville SC 29601-3972
Phone: (864) 233-4349
Fax: (877) 417-0311
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | MD27447 | Tennessee |
Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology | 2085R0204X | 24329 | South Carolina |
Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | 24329 | South Carolina |
Profile Details
NPI number | 1043287220 |
---|---|
LBN Legal business name | Graham, Matthew Timothy |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Mar 7th, 2006 |
Last updated | Nov 30th, 2023 - about last year |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1043287220 | NPPES |
Tennessee | MEDICAID | 3852107 | |
Tennessee | Other | 4102717 | |
Tennessee | Other | 300110847 | |
Tennessee | MEDICAID | 3852108 | |
Tennessee | MEDICAID | 3852109 | |
Tennessee | Other | P00264044 | |
Tennessee | Other | 3146921 |
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