Individual
DR. RANJIT CHERIAN MATHEW
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D. PH.D
Contact information
Practice address
170 HAWTHORNE PARK, ATHENS, GA 30606-2147
(706) 549-1222
(706) 549-9975
Mailing address
1500 OGLETHORPE AVENUE, SUITE 600F, ATHENS, GA 30606
(706) 549-1222
(706) 549-9975
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
037286
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000576837A
—
GA
Enumeration date
08/01/2005
Last updated
08/20/2014
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