Individual provider · Type 1 NPI

Mary Kathleen Matzko, NURSE PRACTITIONER

Adult Health Nurse Practitioner · Columbia, SC

NPI number 1417388141 Active

Practice location

14 Richland Medical Park Dr Ste 410
Columbia, SC 29203-6878

Fax (803) 434-8749

Mailing address

PO Box 743904
Atlanta, GA 30374-3904

Other practice locations

  • 317 Saint Francis Dr, Suite 340, Greenville, SC 29601-3965 · (864) 546-3699

Specialties and licenses

TaxonomyCodeLicense
Adult Health Nurse Practitioner Primary 363LA2200X18599 (SC)

Adult Health Nurse Practitioner: Definition to come...

7 other providers at this address

Other adult health nurse practitioner providers in Columbia

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About NPI 1417388141

Mary Kathleen Matzko, NURSE PRACTITIONER's National Provider Identifier is 1417388141, issued on Dec 5, 2013. The primary taxonomy on file is Adult Health Nurse Practitioner (363LA2200X), and the practice location is in Columbia, SC. The record was last updated on Sep 16, 2021.