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Individual

DR. MATTHEW AARON PREVOST

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
87 19TH ST W STE 300, JASPER, AL 35501-5430
(205) 221-3606
(659) 675-2225
Mailing address
87 19TH ST W STE 300, JASPER, AL 35501-5430
(205) 221-3606
(659) 675-2225

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
009141
GA
207X00000X
Orthopaedic Surgery Physician
Primary
MD.48713
AL
207XS0117X
Orthopaedic Surgery of the Spine Physician
MD.48713
AL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
U2294
TEXAS MEDICAL BOARD
TX
Enumeration date
05/24/2018
Last updated
08/26/2024
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