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Individual

DR. MATHEW M. JOHN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.P.M

Contact information

Practice address
2790 SANDY PLAINS RD, SUITE 300, MARIETTA, GA 30066-4378
(770) 977-3668
(770) 578-0033
Mailing address
2790 SANDY PLAINS RD, SUITE 300, MARIETTA, GA 30066-4378
(770) 977-3668
(770) 578-0033

Taxonomy

Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
000926
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
288814528A
GA
Enumeration date
09/19/2005
Last updated
04/19/2024
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