Individual
SONY MATHEWS
Active
Individual
SONY MATHEWS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
002860
GA
207R00000X
Internal Medicine Physician
065143
GA
207RG0100X
Gastroenterology Physician
Primary
999999
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
002860
MD TRAINING LICENSE
GA
01
—
065143
FULL MD LICENSE
GA
01
—
171378
MD TRAINING LICENSE
NC
Enumeration date
03/16/2008
Last updated
07/04/2014
Update your record
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