Healthcare Provider Details

I. General information

NPI: 1972845766
Provider Name (Legal Business Name): MATTHEW JEDEDIAH SCHRETTNER M.D
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/20/2013
Last Update Date: 09/10/2026
Certification Date: 09/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

102 KATIE CT
GREENWOOD SC
29646-4068
US

IV. Provider business mailing address

104 WELLS AVE
GREENWOOD SC
29646-3837
US

V. Phone/Fax

Practice location:
  • Phone: 864-725-7799
  • Fax: 864-725-7730
Mailing address:
  • Phone: 864-725-4673
  • Fax: 864-725-7730

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084N0400X
TaxonomyNeurology Physician
License Number52304
License Number StateSC
# 2
Primary TaxonomyN
Taxonomy Code2084N0600X
TaxonomyClinical Neurophysiology Physician
License NumberMD52304
License Number StateSC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: