Individual
DR. CELINE MATHEW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
2675 MAIN ST W, SNELLVILLE, GA 30078-3161
(404) 659-5909
Mailing address
455 PHILIP BLVD, STE 140, LAWRENCEVILLE, GA 30046-8768
(770) 962-3642
(770) 962-3643
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
066868
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P01100574
RAILROAD MEDICARE
GA
Enumeration date
06/24/2008
Last updated
09/18/2018
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