Individual
MATTHEW DUBOSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
990 LOGANVILLE HWY STE 102, BETHLEHEM, GA 30620-2175
(770) 848-6190
Mailing address
PO BOX 742616, ATLANTA, GA 30374-2616
(770) 219-8420
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
99089
GA
390200000X
Student in an Organized Health Care Education/Training Program
—
GA
Other
Enumeration date
12/27/2018
Last updated
08/05/2025
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