Provider Demographics
NPI:1760153233
Name:MATHEW EPPS, MD PLASTIC SURGERY INC
Entity Type:Organization
Organization Name:MATHEW EPPS, MD PLASTIC SURGERY INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:MATHEW
Authorized Official - Middle Name:T
Authorized Official - Last Name:EPPS
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:864-546-8973
Mailing Address - Street 1:29 PLANTATION PARK DR STE 302
Mailing Address - Street 2:
Mailing Address - City:BLUFFTON
Mailing Address - State:SC
Mailing Address - Zip Code:29910-9007
Mailing Address - Country:US
Mailing Address - Phone:864-546-8973
Mailing Address - Fax:
Practice Address - Street 1:29 PLANTATION PARK DR STE 302
Practice Address - Street 2:
Practice Address - City:BLUFFTON
Practice Address - State:SC
Practice Address - Zip Code:29910-9007
Practice Address - Country:US
Practice Address - Phone:864-546-8973
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-09-24
Last Update Date:2021-09-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208600000XAllopathic & Osteopathic PhysiciansSurgeryGroup - Single Specialty