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MATTHEW COLE WHITTAKER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PA-C

Contact information

Practice address
1919 STATE ST STE 248, NEW ALBANY, IN 47150-6804
(812) 948-5767
Mailing address
554 MAGNOLIA DR, MOUNT STERLING, KY 40353-1028
(606) 207-2702

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
IN

Other

Enumeration date
04/22/2021
Last updated
04/22/2021
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