MEDICARE: DR. CHRISTOPHER JOSEPH MATHEWS M.D.

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	174400000X	Specialist	049133	GA
2	207Q00000X	Family Medicine Physician	049133	GA

Other Identifiers

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

General Provider Information

NPI Number	:	1306845458
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. CHRISTOPHER JOSEPH MATHEWS M.D.

Provider Business Mailing Address
First Line	:	PO BOX 818
Second Line	:
City	:	SPRINGFIELD
State	:	GA
Zip	:	31329
Country	:	US
Telephone Number	:	912-826-6000
Fax Number	:	912-826-6016

Provider Business Practice Location Address
First Line	:	100 GOSHEN RD
Second Line	:
City	:	RINCON
State	:	GA
Zip	:	31326-5545
Country	:	US
Telephone Number	:	912-826-6000
Fax Number	:	912-826-6016

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

Provider Enumeration Date	:	07/20/2005
Last Update Date	:	09/23/2009

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