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Contact Information

MATHEW MICELI, MD
105 US HIGHWAY 80 E
DEMOPOLIS, AL36732-3605
 Phone: 334-287-2647
 Fax: 334-287-2405
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Hematology & Oncology

207RH0003X 11 Physician/Internal Medicine
 

Medical Oncology

207RX0202X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for MATHEW MICELI · (Male)

NPI # 1447210745
Status Active
Credentials MD
Entity Individual
Enumeration date 03/23/2006
Last updated 02/27/2015 - About 11 years ago
Sole proprietor 1 Yes
Identifiers
  • AL License # 31266
  • MS License # 20438
  • MS Medicaid 02124094
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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