Provider Demographics
NPI:1285299156
Name:ATKINSON, MATTHEW ERIC (DC)
Entity type:Individual
Prefix:DR
First Name:MATTHEW
Middle Name:ERIC
Last Name:ATKINSON
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:103 RETREAT CT
Mailing Address - Street 2:
Mailing Address - City:GREENWOOD
Mailing Address - State:SC
Mailing Address - Zip Code:29649-8812
Mailing Address - Country:US
Mailing Address - Phone:864-992-3393
Mailing Address - Fax:
Practice Address - Street 1:28072 HIGHWAY 76 E
Practice Address - Street 2:
Practice Address - City:CLINTON
Practice Address - State:SC
Practice Address - Zip Code:29325-5325
Practice Address - Country:US
Practice Address - Phone:864-833-1295
Practice Address - Fax:864-833-3439
Is Sole Proprietor?:No
Enumeration Date:2019-05-07
Last Update Date:2021-02-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC4398111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor