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Individual

MR. FARRELL MATTHEWS JR.

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
COMS

Contact information

Practice address
2807 WASHINGTON RD, B-104, AUGUSTA, GA 30909-7100
(404) 849-1344
Mailing address
2807 WASHINGTON RD, B-104, AUGUSTA, GA 30909-7100
(404) 849-1344

Taxonomy

Speciality
Code
Description
License number
State
2255R0406X
Blind Rehabilitation Specialist/Technologist
Primary
1632
GA

Other

Enumeration date
12/13/2012
Last updated
12/13/2012
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