Search › South Carolina › 207RR0500X
Matthew Jaenicke, M.D
NPI 1063892008 · on the registry since 2015 · sole proprietor
Practice
- Address
- 890 Johnnie Dodds Blvd Suite 2a
Mt Pleasant, SC 29464 - Phone
- (843) 881-9971
- Fax
- (843) 881-9973
- Clinicians at this address
- 4
Registry record
- Primary taxonomy
- 207RR0500X
207RR0500X
- Also registered as
- 390200000X
- Licence states on file
- VT, SC
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2025-04-24
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in South Carolina