Mathews, Malcolm

Mathews, Malcolm is an individual health care provider with primary practice located at 2205 Pavilion Dr Suite 101, Kingsport TN 37660-4641. He recently has only one registered license in Allopathic & Osteopathic Physicians / Medical Oncology, which is considered as his primary health care specialty. Mathews, Malcolm can be contacted via phone (423) 857-6466.

Contact Information

Primary practice address
2205 Pavilion Dr Suite 101 Kingsport TN 37660-4641
Phone: (423) 857-6466
Fax: (423) 857-6456
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Medical Oncology 207RX0202X 16245 Tennessee
Allopathic & Osteopathic Physicians / Medical Oncology 207RX0202X 0101232053 Virginia

Profile Details

NPI number 1952378747
LBN Legal business name Mathews, Malcolm
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 1st, 2006
Last updated Feb 16th, 2017 - about 7 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 1952378747 NPPES
Tennessee MEDICAID Q011077
Tennessee MEDICAID 1952378747
Tennessee MEDICAID 005847966
Tennessee MEDICAID 3026910

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