Healthcare Provider Details

I. General information

NPI: 1821551771
Provider Name (Legal Business Name): MATTHEW THOMAS MEIER
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/08/2019
Last Update Date: 03/30/2026
Certification Date: 03/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2000 E GREENVILLE ST STE 3700
ANDERSON SC
29621-1725
US

IV. Provider business mailing address

10 STONE HEARTH CT
BLUFFTON SC
29909-7303
US

V. Phone/Fax

Practice location:
  • Phone: 864-512-1475
  • Fax: 864-512-1930
Mailing address:
  • Phone: 631-921-4436
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number91297
License Number StateSC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: