Individual
DR. MATTHEW WILLIAM PANTSARI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
901 18TH ST E, TIFTON, GA 31794-3648
(229) 382-7120
Mailing address
393 N BELAIR RD, EVANS, GA 30809-3096
(706) 868-0104
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
01055503A
IN
207RG0100X
Gastroenterology Physician
Primary
065044
GA
Other
Enumeration date
02/25/2006
Last updated
10/04/2018
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