Cranford, Matthew Shepard

Cranford, Matthew Shepard is an individual health care provider with primary practice located at 820 Saint Sebastian Way Suite 5B, Augusta GA 30901-2643. He recently has only one registered license in Allopathic & Osteopathic Physicians / Gastroenterology, which is considered as his primary health care specialty. Cranford, Matthew Shepard can be contacted via phone (706) 722-2400.

Contact Information

Primary practice address
820 Saint Sebastian Way Suite 5B Augusta GA 30901-2643
Fax: (706) 724-9211
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Gastroenterology 207RG0100X 34801 Georgia

Profile Details

NPI number 1558307090
LBN Legal business name Cranford, Matthew Shepard
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 22nd, 2006
Last updated Aug 12th, 2010 - about 14 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1558307090 NPPES
Georgia MEDICAID 00476957G

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