| Dr Matthew Wink, DC | |
|
4200 E North St Ste 6, Greenville, SC 29615-2437 | |
| (864) 263-3553 | |
| Not Available |
| Full Name | Dr Matthew Wink |
|---|---|
| Gender | Male |
| Speciality | Chiropractor |
| Location | 4200 E North St Ste 6, Greenville, South Carolina |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851800635 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | CHIR009857 (Georgia) | Secondary |
| 111N00000X | Chiropractor | 4280 (South Carolina) | Primary |
| Provider Name | New Life Medical Centers Llc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1568962223 PECOS PAC ID: 9133484264 Enrollment ID: O20180521001172 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Matthew Wink, DC 4200 E North St, Greenville, SC 29615-2437 Ph: (706) 218-0614 | Dr Matthew Wink, DC 4200 E North St Ste 6, Greenville, SC 29615-2437 Ph: (864) 263-3553 |
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