Individual
DAVID A. MATTHEWS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
790 CHURCH ST NE, STE 400, MARIETTA, GA 30060-7282
(770) 952-8899
Mailing address
PO BOX 3157, INDIANAPOLIS, IN 46206-3157
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
0101258195
VA
2085R0202X
Diagnostic Radiology Physician
01071444A
IN
2085R0202X
Diagnostic Radiology Physician
Primary
075642
GA
390200000X
Student in an Organized Health Care Education/Training Program
11015439A
IN
Other
Enumeration date
05/19/2010
Last updated
08/08/2016
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