Individual
DR. VINITA MATHUR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
350 HOSPITAL DR, MACON, GA 31217-3838
(787) 654-8724
(475) 751-0455
Mailing address
350 HOSPITAL DR, MACON, GA 31217-3838
(787) 654-8724
(475) 751-0455
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
200500221
NC
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
MD0000043396
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
046JM
BCBS NC
NC
01
—
130I227776
MEDICARE PTAN
TN
01
—
3721566
GROUP PTAN
TN
05
—
5900266
—
NC
01
—
E4403-26290
MEDCOST
NC
Enumeration date
08/29/2005
Last updated
08/12/2025
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