Organization
HARTSELLE PRIMARY CARE, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. THOMAS MATHEW JR. M.D. (OWNER/PHYSICIAN)
(256) 773-9820
Entity
Organization
Contact information
Practice address
1635 HIGHWAY 31 NW, STE B, HARTSELLE, AL 35640-4426
(256) 773-9820
(256) 773-6807
Mailing address
1635 HIGHWAY 31 NW, STE B, HARTSELLE, AL 35640-4426
(256) 773-9820
(256) 773-6807
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
00026288
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DG3182
RAILROAD MEDICARE
AL
Enumeration date
05/09/2006
Last updated
12/09/2008
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