Dr. Matthew Michael Antonucci
Neurology Nutrition Pediatric Chiropractor
874 Whipple Rd Suite 200
Mount Pleasant
, South Carolina 29464-8900
Dr. Matthew Michael Antonucci
Neurology Nutrition Pediatric Chiropractor
874 Whipple Rd Suite 200
Mount Pleasant
, South Carolina 29464-8900
(843) 882-5433
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About
Features
Specialties
- Neurology
- Nutrition
- Pediatric Chiropractor
Languages spoken
- English
Location
First Address
- Dr. Matthew Michael Antonucci
- 874 Whipple Rd Suite 200
- Mount Pleasant, SC
- Zip : 29464-8900
- Phone : (843) 882-5433
Second Address
- Dr. Matthew Michael Antonucci
- 874 Whipple Rd Suite 200
- Mount Pleasant, SC
- Zip : 29464-8900
- Phone : (843) 882-5433
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 111NN0400X | Neurology | 3613 | SC |
| N | 111NN1001X | Nutrition | 3613 | SC |
| N | 111NP0017X | Pediatric Chiropractor | 3613 | SC |
National Provider Identifier
| NPI | 1851696165 |
|---|---|
| Provider Name | Dr. Matthew Michael Antonucci |
| First Address | Mount Pleasant, SC 29464-8900 |
| Second Address | Mount Pleasant, SC 29464-8900 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 18/01/2011 |
| Last Update Date | 18/01/2011 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.