Organization
T. KEITH MATTHEWS, D.O.,P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. T KEITH MATTHEWS D.O. (OWNER)
(706) 781-3994
Entity
Organization
Contact information
Practice address
56 APPALACHIAN AVE, BLAIRSVILLE, GA 30512-2271
(706) 781-3994
(706) 781-3997
Mailing address
56 APPALACHIAN AVE, BLAIRSVILLE, GA 30512-2271
(706) 781-3994
(706) 781-3997
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
039632
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00717142B
—
GA
Enumeration date
06/04/2012
Last updated
05/13/2016
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