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NPI Code Detail

MEDICARE: HOLDEN MATTHEW GABRIEL PA-C

MEDICARE: HOLDEN MATTHEW GABRIEL PA-C
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
1363A00000XPhysician Assistant6204SC

General Provider Information

NPI Number : 1427912518
Entity Type Code : Individual
Provider Name (Legal Business Name) : HOLDEN MATTHEW GABRIEL PA-C
Provider Business Mailing Address
First Line : PO BOX 743070
Second Line :
City : ATLANTA
State : GA
Zip : 30374-3070
Country : US
Telephone Number : 864-560-4304
Fax Number : 864-560-4413
Provider Business Practice Location Address
First Line : 101 E WOOD ST STE 401
Second Line :
City : SPARTANBURG
State : SC
Zip : 29303-3040
Country : US
Telephone Number : 864-560-6654
Fax Number : 864-560-7353
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/12/2025
Last Update Date : 01/07/2026

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Directions to “ HOLDEN MATTHEW GABRIEL PA-C” Practice Location

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