Myrna L Mattos, RN - General Practice in Columbia, SC

Myrna L Mattos, RN is a General Practice physician based in Columbia, South Carolina. Myrna L Mattos is licensed to practice in South Carolina (license number R106388) and her current practice location is 1409 Devine Street, Columbia, South Carolina. She can be reached at her office (for appointments etc.) via phone at (803) 777-3658.

NPI number for Myrna L Mattos is 1619140340 and her current mailing address is 1409 Devine Street, Columbia, South Carolina. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1619140340.

Contact Information

Myrna L Mattos, RN
1409 Devine Street,
Columbia, SC 29208-0001
(803) 777-3658
(803) 777-0126

Map and Direction




Physician's Profile

Full NameMyrna L Mattos
GenderFemale
SpecialityGeneral Practice
Location1409 Devine Street, Columbia, South Carolina
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1619140340
  • Provider Enumeration Date: 04/02/2008
  • Last Update Date: 04/02/2008

Medical Identifiers

Medical identifiers for Myrna L Mattos such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1619140340NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208D00000XGeneral Practice R106388 (South Carolina)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Myrna L Mattos is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Myrna L Mattos, RN
1409 Devine Street,
Columbia, SC 29208-0001

Ph: (803) 777-3658
Myrna L Mattos, RN
1409 Devine Street,
Columbia, SC 29208-0001

Ph: (803) 777-3658

Reviews and Comments


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