Individual
DR. HUITT EVERETT MATTOX III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3217 4TH ST, BRUNSWICK, GA 31520-3759
(912) 267-0058
Mailing address
3217 4TH ST, BRUNSWICK, GA 31520-3759
(912) 267-0058
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
033402
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000432946A
—
GA
Enumeration date
09/13/2005
Last updated
11/10/2011
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