MYRNA L. MATTOS R.N.
NPI 1619140340
General Practice in Columbia, SC

Q: What is Myrna Mattos's NPI number?

The NPI number for Myrna Mattos is 1619140340. It was assigned to this individual provider in the NPPES registry on April 2, 2008.

Q: What is Myrna Mattos's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Q: When was this NPI record last updated?

The NPPES record for Myrna Mattos was last updated on April 2, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since April 02, 2008

1409 DEVINE STREET, COLUMBIA, SC 29208(803) 777-3658(803) 777-0126 Get Directions Write a Review

NPPES record last updated: April 2, 2008. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Myrna L. Mattos R.n. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MYRNA L. MATTOS R.N. (NPI 1619140340) is an individual general practice provider in Columbia, South Carolina, licensed in South Carolina (R106388) and active in the NPI registry since April 2008.

NPPES Registry Identity

NPI1619140340

Entity TypeIndividualFemale

Primary Taxonomy208D00000X

Provider Legal NameMYRNA L. MATTOSCredential: R.N.

Location Address1409 DEVINE STREETColumbia, SC 29208-0001

Mailing Address1409 Devine StreetColumbia, SC 29208-0001 · (803) 777-3658 · Fax (803) 777-0126

Phone(803) 777-3658

Fax(803) 777-0126

Sole ProprietorNo

Enumeration DateApril 2, 2008

✔ NPI 1619140340 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians

Taxonomy Code208D00000X

License✔ Licensed in SC · R106388

Definition

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee

1409 DEVINE STREET, Columbia, SC 29208

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Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MRS. CYNTHIA MCINTYRE THOMPSON RN

Registered Nurse

1409 DEVINE STREET, UNIVERSITY OF SC THOMASON STUDENT HEALTH CENTER
COLUMBIA, SC 29208

Richland County (803) 777-3658

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Myrna Mattos's NPI number?

The NPI number for Myrna Mattos is 1619140340. It was assigned to this individual provider in the NPPES registry on April 2, 2008.

Where is Myrna Mattos located?

Myrna Mattos practices at 1409 Devine Street, Columbia, SC 29208. The listed phone number is (803) 777-3658.

What is Myrna Mattos's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

When was this NPI record last updated?

The NPPES record for Myrna Mattos was last updated on April 2, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.