Individual provider · Type 1 NPI

Matthew Kenneth Fabyanic, PA-C

Surgical Physician Assistant · Charleston, SC

NPI number 1629049697 Active

Practice location

2093 Henry Tecklenburg Dr Ste 200E
Charleston, SC 29414-5742

Mailing address

PO Box 751649
Charlotte, NC 28275-1649

Specialties and licenses

TaxonomyCodeLicense
Surgical Physician Assistant Primary 363AS0400X2242 (SC)

Surgical Physician Assistant: Definition to come...

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About NPI 1629049697

Matthew Kenneth Fabyanic, PA-C's National Provider Identifier is 1629049697, issued on Jan 30, 2006. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Charleston, SC. The record was last updated on Dec 31, 2025.