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Individual

DR. CHRISTOPHER MARK MATHEWS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Taxonomy

Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
37787
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1134166291
VA
05
3700033
TN
01
4230238
BCBS
TN
01
P00329663
MEDICARE RAILROAD
TN
Enumeration date
05/31/2006
Last updated
03/13/2024
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