Individual
EDWARD A MATTHEWS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
2300 MANCHESTER EXPY, STE 2001, COLUMBUS, GA 31904-6802
(706) 323-5552
(706) 323-3066
Mailing address
PO BOX 9006, COLUMBUS, GA 31908-9006
(706) 323-5552
(706) 323-3066
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
34896
GA
174400000X
Specialist
DO376
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000471633
—
GA
05
—
167594
—
AL
Enumeration date
09/11/2006
Last updated
07/27/2015
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