Individual
DR. IAN MATTHEW RIVERA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
300 W HOSPITAL RD, FORT GORDON, GA 30905-5741
(706) 787-7665
(706) 787-2326
Mailing address
300 W HOSPITAL RD, FORT GORDON, GA 30905-5741
(706) 787-7665
(706) 787-2326
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
61853
GA
207RN0300X
Nephrology Physician
Primary
61853
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1780830331
NPI
—
Enumeration date
08/14/2008
Last updated
03/12/2026
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