Individual
DR. JOSIAH S MATTHEWS IV
Active
Individual
DR. JOSIAH S MATTHEWS IV
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
041615
GA
208VP0000X
Pain Medicine Physician
041615
GA
208VP0014X
Interventional Pain Medicine Physician
041615
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000704954A
—
GA
01
—
050045130
PALMETTO
GA
01
—
507238
BCBS
GA
Enumeration date
04/06/2006
Last updated
08/24/2015
Update your record
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