Individual
DR. RONNIE EDWIN MATHEWS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2335 CHURCH STREET, STE B, ZACHARY, LA 70791
(225) 654-6366
(225) 654-6366
Mailing address
2335 CHURCH STREET, STE B, ZACHARY, LA 70791
(225) 654-6366
(225) 654-6366
Taxonomy
Speciality
Code
Description
License number
State
207XS0106X
Orthopaedic Hand Surgery Physician
Primary
12742
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1198242
—
LA
01
—
690224
AETNA HEALTHCARE
—
Enumeration date
04/22/2006
Last updated
01/15/2009
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