Individual
MINEY MATHEWS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
711 CHARLES GILMAN JR AVE STE B, KINGSLAND, GA 31548-5664
(912) 510-9728
(912) 510-9752
Mailing address
711 CHARLES GILMAN JR AVE STE B, KINGSLAND, GA 31548-5664
(912) 510-9728
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
84640
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036099774 1
—
IL
01
—
2220936
BCBS
IL
Enumeration date
05/10/2006
Last updated
09/09/2024
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