Individual
MATTHEW AARON WARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
2514 67TH AVENUE LOOP, SUITE 112, MERIDIAN, MS 39307-7259
(601) 482-4955
Mailing address
2514 67TH AVENUE LOOP, SUITE 112, MERIDIAN, MS 39307-7259
(601) 482-4955
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
T-3254
MS
390200000X
Student in an Organized Health Care Education/Training Program
T-3254
MS
Other
Enumeration date
06/16/2016
Last updated
08/04/2016
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