Individual
DR. THOMAS MATHEW JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
330 ALCOVY ST, MONROE, GA 30655-2140
(770) 267-1802
(770) 267-1796
Mailing address
330 ALCOVY ST, MONROE, GA 30655-2140
(770) 267-1802
(770) 267-1796
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
00026288
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
051534684
—
AL
01
—
1578512141
NPI
AL
Enumeration date
05/09/2006
Last updated
12/23/2010
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