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NPI Code Detail

MEDICARE: MR. MATTHEW C. TINNEY DO

MEDICARE:  MR. MATTHEW C. TINNEY  DO
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 Physician1241TN
2207Q00000XFamily Medicine PhysicianOS10663FL
3207Q00000XFamily Medicine Physician1241TN

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1225031537
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. MATTHEW C. TINNEY DO
Provider Business Mailing Address
First Line : 4841 HIXSON PIKE
Second Line : SUITE A
City : HIXSON
State : TN
Zip : 37343-4431
Country : US
Telephone Number : 423-305-7980
Fax Number : 423-305-7981
Provider Business Practice Location Address
First Line : 4841 HIXSON PIKE
Second Line : SUITE A
City : HIXSON
State : TN
Zip : 37343-4431
Country : US
Telephone Number : 423-305-7980
Fax Number : 423-305-7981
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/31/2005
Last Update Date : 10/01/2019

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Directions to “ MR. MATTHEW C. TINNEY DO” Practice Location

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