MEDICARE: MATTHEW GOLDEN

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	171400000X	Health & Wellness Coach

General Provider Information

NPI Number	:	1023845344
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MATTHEW GOLDEN

Provider Business Mailing Address
First Line	:	75 5TH ST NW STE 3225
Second Line	:
City	:	ATLANTA
State	:	GA
Zip	:	30308-1084
Country	:	US
Telephone Number	:	914-330-1776
Fax Number	:

Provider Business Practice Location Address
First Line	:	75 5TH ST NW STE 3225
Second Line	:
City	:	ATLANTA
State	:	GA
Zip	:	30308-1084
Country	:	US
Telephone Number	:	914-330-1776
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/19/2024
Last Update Date	:	09/19/2024

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Directions to “ MATTHEW GOLDEN ” Practice Location

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