Individual
DR. MATTHEW DEMORE III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.P.M.
Contact information
Practice address
400 CEDAR ST, METTER, GA 30439-3338
(912) 685-5741
Mailing address
PO BOX 407, VIDALIA, GA 30475-0407
(912) 538-0040
(912) 538-7070
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
36-002649D
OH
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
POD001325
GA
Other
Enumeration date
07/05/2005
Last updated
07/22/2024
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