Jonathan Douglas Matlock D.O.

NPI 1013272053 - Family Medicine - 207Q00000X

NPI Details
NPI 1013272053
Gender Male
Enumeration Date 07/05/2012
Last Updated 05/18/2016
Entity Type Individual
Active Over 4 years ago
Practice Location
8000 AL HIGHWAY 69
ATTN: DR. MATLOCK
GUNTERSVILLE AL, 35976-7140, US
Phone (256) 571-8000
Fax
Business Location
8000 AL HIGHWAY 69
ATTN: DR. MATLOCK
GUNTERSVILLE AL, 35976-7140, US
Phone (256) 571-8000
Fax (706) 571-1604
Toxanomy
Taxonomy Code 207Q00000X
License State Georgia
License Number 05724
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According to our database, Mr. Jonathan Douglas Matlock D.O. NPI is 1013272053, taxonomy code is 207Q00000X and license number is 05724, license state is located at Georgia. Jonathan Douglas Matlock D.O. physically located at 8000 Al Highway 69, Guntersville AL, 35976-7140. NPI Number Jonathan Douglas Matlock D.O. has the Individual type.

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1013272053 NPI number is provided on an as is basis without warranty of any kind. 1013272053 is maintained by the National Plan & Provider Enumeration System. The contents of Jonathan Douglas Matlock D.O. are for informational purposes only.