Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mr. Matthew Morgan Moake

Individual provider Pediatrics Physician · NPI 1073958120

Mr. Matthew Morgan Moake is a Pediatrics Physician in Charleston, South Carolina. Works from 2 locations. Licensed in South Carolina.

Licensed in
SC
In the registry since
2013
Specialties on file
3
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Practice location Address checks out

171 Ashley Ave
Charleston, SC 29425-2106
Phone: (843) 792-0269
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 135 Rutledge Ave, Msc 561, Charleston, SC 29425-2106 — (843) 792-0269

Specialties & licences

Pediatric Emergency Medicine (Pediatrics) Physician (primary) Taxonomy 2080P0204X · Licence 39233 (SC)
Pediatrics Physician Taxonomy 208000000X · Licence 39233 (SC)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1073958120
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedMay 2, 2013
Last updated in NPPESDecember 14, 2020
Certification dateDecember 14, 2020

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