Matheny, Colin O

Matheny, Colin O is an individual health care provider with primary practice located at 100 Three Rivers Dr Ne , Rome GA 30161-4999. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Surgical, which is considered as his primary health care specialty. Matheny, Colin O can be contacted via phone (706) 292-0040.

Contact Information

Primary practice address
100 Three Rivers Dr Ne Rome GA 30161-4999
Phone: (706) 292-0040
Fax: (706) 378-0556
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X 004874 Georgia

Profile Details

NPI number 1609969823
LBN Legal business name Matheny, Colin O
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 2nd, 2006
Last updated Oct 15th, 2010 - about 15 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 1609969823 NPPES
Georgia MEDICAID 902115928B
Georgia MEDICAID 902115928A
Georgia MEDICAID 902115928D
Georgia MEDICAID 902115928C

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