Healthcare Provider Details

I. General information

NPI: 1346285087
Provider Name (Legal Business Name): MATTHEW BEAL O'STEEN M.D., F.A.C.C.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/17/2006
Last Update Date: 01/12/2024
Certification Date: 01/12/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1033 SAINT ANDREWS BLVD
CHARLESTON SC
29407-7156
US

IV. Provider business mailing address

PO BOX 751649
CHARLOTTE NC
28275-1649
US

V. Phone/Fax

Practice location:
  • Phone: 843-723-6111
  • Fax: 843-727-2973
Mailing address:
  • Phone: 843-789-1620
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RI0011X
TaxonomyInterventional Cardiology Physician
License NumberMD30153
License Number StateSC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: