Individual
MEGAN EILEEN MATHEWS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1201 BROAD ROCK BLVD, RICHMOND, VA 23249-7213
(757) 717-6383
Mailing address
519 N 24TH ST, RICHMOND, VA 23223-7213
(757) 717-6383
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
0110009419
VA
363AS0400X
Surgical Physician Assistant
Primary
0110009419
VA
Other
Enumeration date
12/28/2022
Last updated
02/25/2025
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