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Individual

CHERLYN MITZI MATTHEWS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP-C

Contact information

Practice address
400 POPLAR ST, MACON, GA 31201-3336
(478) 787-4266
(478) 787-4199
Mailing address
250 MARTIN LUTHER KING JR BLVD, MACON, GA 31201-3490
(478) 301-2362
(478) 301-2272

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
RN118570
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
RN118570
APRN LICENSE NUMBER
GA
Enumeration date
02/09/2007
Last updated
07/02/2024
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