Individual
WAYNE ALLEN MATHEWS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PAC
Contact information
Practice address
250 W KENWOOD AVE, DECATUR, IL 62526-4371
(217) 872-3800
(217) 872-0849
Mailing address
250 W KENWOOD AVE, DECATUR, IL 62526-4371
(217) 872-3800
(217) 872-0849
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
085-000394
IL
Other
Enumeration date
10/28/2005
Last updated
12/12/2013
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