Individual
MATHEW CIECHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3940 WASHINGTON RD, MARTINEZ, GA 30907-5247
(706) 868-5650
(706) 868-0675
Mailing address
3940 WASHINGTON RD, MARTINEZ, GA 30907-5247
(706) 868-5650
(706) 868-0675
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
24247
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00250764L
—
GA
Enumeration date
09/29/2006
Last updated
07/08/2007
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