Individual
DR. MATTHEW AGAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1365B CLIFTON RD NE RM B6169C, ATLANTA, GA 30322-1059
(404) 778-2190
(404) 778-4472
Mailing address
1365B CLIFTON RD NE RM B6169C, ATLANTA, GA 30322-1059
(404) 778-2190
(404) 778-4472
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
28457
NV
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
04/04/2019
Last updated
03/24/2026
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