MEDICARE: DR. RACHEL ELIZABETH MATTHEWS D.M.D.

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
1	1223E0200X	Endodontics	30022499	OH

General Provider Information

NPI Number	:	1528219193
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. RACHEL ELIZABETH MATTHEWS D.M.D.

Provider Business Mailing Address
First Line	:	1033 BAYSHORE DR
Second Line	:	SUITE A
City	:	ROCK HILL
State	:	SC
Zip	:	29732-1569
Country	:	US
Telephone Number	:	803-327-4444
Fax Number	:	803-327-4443

Provider Business Practice Location Address
First Line	:	1033 BAYSHORE DR
Second Line	:	SUITE A
City	:	ROCK HILL
State	:	SC
Zip	:	29732-1569
Country	:	US
Telephone Number	:	803-327-4444
Fax Number	:	803-327-4443

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/01/2008
Last Update Date	:	10/05/2010

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