Individual
SCOTT MATSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
1720 CHURCH ST STE 4, TAZEWELL, TN 37879-3004
(423) 626-2410
(423) 626-2591
Mailing address
1720 CHURCH ST STE 4, TAZEWELL, TN 37879-3004
(423) 626-2410
(423) 626-2591
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
DO1498
TN
207V00000X
Obstetrics & Gynecology Physician
Primary
DO1498
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1521614
—
TN
01
—
1942567326
NPI
—
05
—
64131386
—
KY
Enumeration date
05/11/2006
Last updated
10/11/2024
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