Individual
C MATHEWS PAINE JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3131 S MAIN ST, MOULTRIE, GA 31768-6925
(229) 985-8802
(229) 891-2016
Mailing address
PO BOX 2977, MOULTRIE, GA 31776-2977
(229) 985-8802
(229) 891-2016
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
022171
GA
Other
Enumeration date
11/14/2005
Last updated
10/10/2011
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