Individual
JIM MATHEW JOHN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
755 WALTHER RD # 325-0159, LAWRENCEVILLE, GA 30046
(770) 962-4895
(678) 377-3816
Mailing address
665 DULUTH HWY STE 801, LAWRENCEVILLE, GA 30046-8709
(470) 325-0148
(770) 339-0485
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
27363
AL
207RI0011X
Interventional Cardiology Physician
Primary
64572
GA
Other
Enumeration date
05/09/2007
Last updated
05/30/2023
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