Individual
DR. MATHEW JOHN JOSEPH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
103 NATCHEZ PARK DR STE 103, DICKSON, TN 37055-9013
(615) 740-7025
(615) 740-9508
Mailing address
PO BOX 440100, NASHVILLE, TN 37244-0100
(615) 329-0570
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
43461
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1505837
—
TN
01
—
4183143
BCBS OF TN
TN
Enumeration date
12/04/2007
Last updated
11/06/2019
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