Individual
DR. MATTHEW TIMOTHY BIEDRON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
2282 E PINETREE BLVD, THOMASVILLE, GA 31792-4807
(229) 226-6000
(229) 226-5859
Mailing address
2282 E PINETREE BLVD, THOMASVILLE, GA 31792-4807
(229) 226-6000
(229) 226-5859
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPT003067
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003213877A
—
GA
05
—
003213877B
—
GA
Enumeration date
09/14/2015
Last updated
07/16/2021
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