NPI 1013505759
Matthew Davidson
Practice location
- Address
- 405a E 1st Ave, Easley, SC 29640-3062
- Phone
- (864) 644-8251
- Fax
- (864) 644-8253
Registered specialties
Professional Counselor
Primary
Registry record
- NPI
- 1013505759
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 7 Jan 2021
- Record last updated
- 7 Jan 2021
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.