Individual
THOMAS C MATTHEWS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
6300 HOSPITAL PKWY STE 375, NORTH ATLANTA VASCULAR CLINIC, JOHNS CREEK, GA 30097-2461
(770) 771-5260
(770) 771-5269
Mailing address
6300 HOSPITAL PKWY STE 375, NORTH ATLANTA VASCULAR CLINIC, JOHNS CREEK, GA 30097-2461
(770) 771-5260
(770) 771-5269
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
075295
GA
208600000X
Surgery Physician
27103
AL
2086S0129X
Vascular Surgery Physician
075295
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003176992A
—
GA
05
—
00389731
—
MS
01
—
051116981
BCBS
AL
01
—
051116984
BCBS
AL
01
—
051116986
BCBS
AL
05
—
128787
—
AL
05
—
128788
—
AL
05
—
128789
—
AL
Enumeration date
05/11/2007
Last updated
09/06/2016
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