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NPI Code Detail

MEDICARE: MATTHEW SCOTT WEINSTEIN DO

MEDICARE:   MATTHEW SCOTT WEINSTEIN  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
1208100000XPhysical Medicine & Rehabilitation Physician98403GA

General Provider Information

NPI Number : 1487115820
Entity Type Code : Individual
Provider Name (Legal Business Name) : MATTHEW SCOTT WEINSTEIN DO
Provider Business Mailing Address
First Line : 455 PHILIP BLVD STE 140
Second Line :
City : LAWRENCEVILLE
State : GA
Zip : 30046-8768
Country : US
Telephone Number : 770-962-3642
Fax Number : 770-962-3643
Provider Business Practice Location Address
First Line : 455 PHILIP BLVD STE 140
Second Line :
City : LAWRENCEVILLE
State : GA
Zip : 30046-8768
Country : US
Telephone Number : 770-962-3642
Fax Number : 770-962-3643
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/28/2019
Last Update Date : 04/06/2026

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Directions to “ MATTHEW SCOTT WEINSTEIN DO” Practice Location

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