Individual
SANDRA MATTHEWS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
9350 HIGHWAY 49, SUITE A, GULFPORT, MS 39503-4213
(228) 563-6800
(228) 563-6803
Mailing address
PO BOX 555, BILOXI, MS 39533-0555
(228) 563-6800
(228) 563-6803
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R863864
MS
Other
Enumeration date
01/14/2011
Last updated
01/09/2012
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