Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MATTHEW WALTER JAENICKE, M.D.
Active Sole ProprietorMATTHEW WALTER JAENICKE, M.D. is a Rheumatology healthcare provider located in MT PLEASANT, South Carolina. NPI 1063892008 is currently active in the NPPES registry. Verify at CMS.
Rheumatology · MT PLEASANT, SC
Registration Details
- NPI Number
- 1063892008
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 4, 2015 (11.212342224842 yrs)
- Last Updated
- Apr 24, 2025
- License
-
38299 (SC)
- Sole Proprietor
- Yes
Practice Information
- Address
-
890 JOHNNIE DODDS BLVD SUITE 2AMT PLEASANT, SC, 29464Browse SC providers · Browse ZIP 29464
- Phone
- 8438819971
- Fax
- 8438819973
- Primary Specialty
-
Rheumatology
207RR0500X
- Additional Specialty
- Rheumatology
Other Rheumatology Providers in MT PLEASANT, SC
| Name | Credential | NPI |
|---|---|---|
| WALTER MORSE BONNER JR. | M.D. | 1700849627 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.