Matthew G Cantrell, M.D.
Internal Medicine, Interventional Cardiology in Columbia, SC. Individual provider (NPI-1).
NPI number1336364264
StatusActive
Last updated in NPPESMay 17, 2023
Details
- NPI
- 1336364264
- Entity type
- Individual (NPI-1)
- Name
- Matthew G Cantrell
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Apr 16, 2007
- Certification date
- May 17, 2023
- Last updated
- May 17, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207RI0011X | Internal Medicine, Interventional Cardiology | 35015 | SC | Yes |
| 207R00000X | Internal Medicine | 01064810A | IN | |
| 207RC0000X | Internal Medicine, Cardiovascular Disease | 35015 | SC | |
| 208M00000X | Hospitalist | 01064810A | IN | |
| 390200000X | Student in an Organized Health Care Education/Training Program | 01064810A | IN |
Practice location
8 Richland Medical Park DrSuite 100
Columbia, SC 29203
Phone 803-434-3800 · Fax 803-744-2759
Mailing address
Po Box 743904Atlanta, GA 30374-3904
Phone 803-296-7320 · Fax 803-296-7330
Other practice locations
6 Richland Medical Park Dr Ste 2100
Columbia, SC 29203-6864
Columbia, SC 29203-6864
Phone 803-434-2762
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