Individual
MR. MATTHEW CRAIG WALDRON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
1765 OLD WEST BROAD ST, ATHENS, GA 30606-2853
(706) 549-1663
(706) 546-8792
Mailing address
1765 OLD WEST BROAD ST BLDG 2-200, ATHENS, GA 30606-2887
(706) 549-1663
(706) 546-8792
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
6722
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
12546390
CAQH NUMBER
—
Enumeration date
02/11/2013
Last updated
01/29/2026
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