Individual
URBAN EDWIN MATHIEU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
54 SERGEANT PRENTISS DR, NATCHEZ, MS 39120-4726
(504) 833-7706
Mailing address
200 CORPORATE BLVD, STE 201, LAFAYETTE, LA 70508-3870
(800) 893-9698
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
19193
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
04005021
—
MS
Enumeration date
06/20/2006
Last updated
07/08/2007
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