John, Mathew M.

John, Mathew M. is an individual health care provider with primary practice located at 2790 Sandy Plains Rd Suite 300, Marietta GA 30066-4378. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery, which is considered as his primary health care specialty. John, Mathew M. can be contacted via phone (770) 977-3668.

Contact Information

Primary practice address
2790 Sandy Plains Rd Suite 300 Marietta GA 30066-4378
Phone: (770) 977-3668
Fax: (770) 578-0033
Website:
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Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery 213ES0103X 000926 Georgia

Profile Details

NPI number 1497740229
LBN Legal business name John, Mathew M.
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 19th, 2005
Last updated Apr 19th, 2024 - about 8 months 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 1497740229 NPPES
Georgia MEDICAID 288814528A

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