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Contact Information

JOSEPH D MATTHEWS JR
2415 W PARK PLACE BLVD
STONE MOUNTAIN, GA30087-3566
 Phone: 470-986-1004
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Orofacial Pain

1223X2210X
 

General Practice

1223G0001X
Indicates primary specialty

NPI Profile & details for JOSEPH D MATTHEWS JR · (Male)

NPI Number 1710984695
Status Active
Credentials
Entity Individual
Enumeration date 07/07/2005
Last updated 01/23/2024 - About 2 years ago
Sole proprietor 1 Yes
Identifiers
  • AZ License # D008997
  • GA License # DN123016
  • NM License # DD1673
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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