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NPI Code Detail

MEDICARE: DR. MATTHEW CHARLES ANDERSON MD

MEDICARE: DR. MATTHEW CHARLES ANDERSON MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207X00000XOrthopaedic Surgery Physician84484SC
2207XS0106XOrthopaedic Hand Surgery Physician50973AL

General Provider Information

NPI Number : 1093338618
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. MATTHEW CHARLES ANDERSON MD
Provider Business Mailing Address
First Line : 1801 GADSDEN HWY
Second Line :
City : BIRMINGHAM
State : AL
Zip : 35235-3134
Country : US
Telephone Number : 205-228-7600
Fax Number : 205-228-7601
Provider Business Practice Location Address
First Line : 701 GROVE RD
Second Line :
City : GREENVILLE
State : SC
Zip : 29605-4210
Country : US
Telephone Number : 864-455-6221
Fax Number : 864-455-7082
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/19/2020
Last Update Date : 06/08/2026

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