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NPI Code Detail

MEDICARE: ROLAND P MATTHEWS MD

MEDICARE: ROLAND P MATTHEWS 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
1207V00000XObstetrics & Gynecology Physician051979GA
2207VX0201XGynecologic Oncology Physician051979GA

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 : 1366442253
Entity Type Code : Individual
Provider Name (Legal Business Name) : ROLAND P MATTHEWS MD
Provider Business Mailing Address
First Line : 75 PIEDMONT AVE
Second Line : STE 700
City : ATLANTA
State : GA
Zip : 30303-2544
Country : US
Telephone Number : 404-756-5764
Fax Number : 404-756-5252
Provider Business Practice Location Address
First Line : 80 JESSE HILL JR DR SE
Second Line :
City : ATLANTA
State : GA
Zip : 30303-3031
Country : US
Telephone Number : 404-616-6634
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/21/2005
Last Update Date : 03/14/2012

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Directions to “ ROLAND P MATTHEWS MD” Practice Location

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