Individual
JAMES C. MATTHEWS III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
1800 12TH ST, MERIDIAN, MS 39301-4158
(601) 703-9265
(601) 703-9936
Mailing address
1800 12TH ST, MERIDIAN, MS 39301-4158
(601) 703-4282
(601) 703-4597
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
14769
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00116777
—
MS
05
—
009607830
—
AL
01
—
080084092
RAIL ROAD MEDICARE
—
Enumeration date
09/12/2005
Last updated
11/09/2013
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