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NPI Code Detail

MEDICARE: MATTHEW PLOTT MD

MEDICARE: MATTHEW PLOTT MD
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
1207P00000XEmergency Medicine Physician110088GA
2207P00000XEmergency Medicine Physician62955TN

General Provider Information

NPI Number : 1164981478
Entity Type Code : Individual
Provider Name (Legal Business Name) : MATTHEW PLOTT MD
Provider Business Mailing Address
First Line : 2305 CHAMBLISS AVE NW
Second Line :
City : CLEVELAND
State : TN
Zip : 37311-3847
Country : US
Telephone Number : 706-264-4603
Fax Number :
Provider Business Practice Location Address
First Line : 2305 CHAMBLISS AVE NW
Second Line :
City : CLEVELAND
State : TN
Zip : 37311-3847
Country : US
Telephone Number : 706-264-4603
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/16/2019
Last Update Date : 04/01/2026

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Directions to “ MATTHEW PLOTT MD” Practice Location

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