Basic Information
| Provider Information | |||||||||
| NPI: | 1396765426 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | HINDMAN | ||||||||
| FirstName: | MATTHEW | ||||||||
| MiddleName: | NOEL | ||||||||
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| Credential: | MD | ||||||||
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| Mailing Information | |||||||||
| Address1: | 1 INDEPENDENCE PT | ||||||||
| Address2: | SUITE 212 | ||||||||
| City: | GREENVILLE | ||||||||
| State: | SC | ||||||||
| PostalCode: | 296154545 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8647976044 | ||||||||
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| Practice Location | |||||||||
| Address1: | 701 GROVE RD | ||||||||
| Address2: | 5TH FLOOR | ||||||||
| City: | GREENVILLE | ||||||||
| State: | SC | ||||||||
| PostalCode: | 296055611 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8644554436 | ||||||||
| FaxNumber: | 8644555008 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 07/20/2006 | ||||||||
| LastUpdateDate: | 05/21/2019 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207R00000X | 25528 | SC | N | Allopathic & Osteopathic Physicians | Internal Medicine | 207RA0000X | 25528 | SC | N | Allopathic & Osteopathic Physicians | Internal Medicine | Adolescent Medicine | 208000000X | 25528 | SC | N | Allopathic & Osteopathic Physicians | Pediatrics | 208M00000X | 25528 | SC | Y | Allopathic & Osteopathic Physicians | Hospitalist |
No ID Information.