Individual
MATTHEW THOMAS CAPALBO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
859 WINTER ST, LUCEDALE, MS 39452-6603
(601) 947-3161
(601) 947-1331
Mailing address
PO BOX 1007, LUCEDALE, MS 39452-1007
(601) 947-1330
(601) 947-1331
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
OT016675
PA
Other
Enumeration date
07/01/2015
Last updated
09/12/2023
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