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Individual

SCOTT ACKLIN MATTHEWS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1201 SOMERVILLE RD SE, DECATUR, AL 35601-4340
(256) 584-8038
(256) 584-8136
Mailing address
1201 SOMERVILLE RD SE, DECATUR, AL 35601-4340
(256) 584-8038
(256) 584-8136

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
MD25714
AL
207R00000X
Internal Medicine Physician
Primary
25714
AL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
009934102
AL
05
110635
AL
01
51529627
BCBS
AL
Enumeration date
03/02/2006
Last updated
10/31/2011
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