Jacob Matthews

NPI 1063845444 - Student in an Organized Health Care Education/Training Program - 390200000X

NPI Details
NPI 1063845444
Gender Male
Enumeration Date 08/20/2013
Last Updated 08/20/2013
Entity Type Individual
Active Over 3 years ago
Practice Location
1400 COLEMAN AVE
MACON GA, 31207-0001, US
Phone (478) 301-2531
Fax
Business Location
1400 COLEMAN AVE
MACON GA, 31207-0001, US
Phone
Fax
Toxanomy
Taxonomy Code 390200000X
License State
License Number
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According to our database, Mr. Jacob Matthews NPI is 1063845444, taxonomy code is 390200000X Jacob Matthews physically located at 1400 Coleman Ave, Macon GA, 31207-0001. NPI Number Jacob Matthews has the Individual type.

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1063845444 NPI number is provided on an as is basis without warranty of any kind. 1063845444 is maintained by the National Plan & Provider Enumeration System. The contents of Jacob Matthews are for informational purposes only.