Nicholson, Matthew Steven
Nicholson, Matthew Steven is an individual health care provider with primary practice located at 1120 15Th St , Augusta GA 30912-2643. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism. Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism is his primary health care specialty. Nicholson, Matthew Steven can be contacted via phone (706) 721-8623.Contact Information
Primary practice address
1120 15Th St
Augusta GA 30912-2643
Phone: (706) 721-8623
Fax: (706) 721-1459
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 072981 | Georgia |
Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism | 207RE0101X | 72981 | Georgia |
Profile Details
NPI number | 1962639823 |
---|---|
LBN Legal business name | Nicholson, Matthew Steven |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jun 18th, 2009 |
Last updated | Aug 6th, 2021 - about 3 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1962639823 | NPPES |
South Carolina | MEDICAID | 318962 |
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