Individual provider · Type 1 NPI
Matthew Chase Lustig
Pediatric Neurodevelopmental Disabilities Physician · Columbia, SC
Practice location
9 Richland Medical Park Dr Ste 110
Columbia, SC 29203-6859
Fax (803) 758-0134
Mailing address
300 E Mcbee Ave Fl 4
Greenville, SC 29601-2842
Other practice locations
- 625 19th St S, Birmingham, AL 35233-1900 · (205) 996-7859
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pediatric Neurodevelopmental Disabilities Physician Primary | 2080P0008X | 87712 (SC) |
| Student in an Organized Health Care Education/Training Program | 390200000X | None listed |
Pediatric Neurodevelopmental Disabilities Physician: A pediatrician who specializes in the treatment of individuals with developmental delays and learning disorders associated with cerebral palsy, spina bifida, autism, and other chronic neurologic conditions.
17 other providers at this address
- Palmetto Health - University of South Carolina Medical GroupPediatric Cardiology Physician Columbia, SC NPI 1205325883
- Palmetto Health - University of South Carolina Medical GroupNeurology with Special Qualifications in Child Neurology Physician Columbia, SC NPI 1912496597
- Alyssa S. Cogdill, FNPNurse Practitioner Columbia, SC NPI 1376863654
- Caroline Marie Demarco, PA-CPhysician Assistant Columbia, SC NPI 1144156217
- Elizabeth DerksRegistered Dietitian Columbia, SC NPI 1912453267
- Jessica Lynn Schumaker, APRNPsychiatric/Mental Health Nurse Practitioner Columbia, SC NPI 1801189659
- Jordann Leah StaplesNeurology with Special Qualifications in Child Neurology Physician Columbia, SC NPI 1225590581
- Krisztina Harsanyi-Jilling, MDNeurology with Special Qualifications in Child Neurology Physician Columbia, SC NPI 1922168376
- Leah Mitchell, DNP APRN CPNP-PCPediatric Nurse Practitioner Columbia, SC NPI 1174072755
- Margaret Alexander Gray, MDPediatric Cardiology Physician Columbia, SC NPI 1164719894
- Mary Lee Gregory, M.D./PH.D.Neurology with Special Qualifications in Child Neurology Physician Columbia, SC NPI 1376710970
- Matthew John KhayataNeurology with Special Qualifications in Child Neurology Physician Columbia, SC NPI 1982137204
About NPI 1679006746
Matthew Chase Lustig's National Provider Identifier is 1679006746, issued on Apr 6, 2017. The primary taxonomy on file is Pediatric Neurodevelopmental Disabilities Physician (2080P0008X), and the practice location is in Columbia, SC. The record was last updated on Jun 7, 2022.