MARK A MATTHEWS

Address: 200 S Enota Dr Ne Ste 200, Gainesville, GA 30501-3466
Phone: 7705342020

MARK A MATTHEWS (NPI# 1245348390) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1245348390
Entity Type 1 - Individual
Full Name MARK A MATTHEWS
Credential M.D.
Practice Address 200 S Enota Dr Ne Ste 200
Gainesville
GA 30501-3466
Mailing Address 200 S Enota Dr Ne Ste 200
Northeast Georgia Heart Center
Gainesville
GA 30501-3466
Practice Telephone 7705342020
Practice Fax Number 7705348025
Enumeration Date 08/28/2006
Last Update Date 10/27/2011
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 207RC0000X Internal Medicine
Specialization: Cardiovascular Disease
MD428380 PA Allopathic & Osteopathic Physicians
Y 207RC0000X Internal Medicine
Specialization: Cardiovascular Disease
054861 GA Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
PA 1017679540001 05
GA 764222904A 05

Office Location

Street Address 200 S ENOTA DR NE STE 200
City GAINESVILLE
State GA
Zip Code 30501-3466

Providers with the same location

NPI Name Address
1851403554 NANCY E SEIGLE 200 S Enota Dr Ne Ste 200, Gainesville, GA 30501-3466
1801089842 ANKIT ARVINDBHAI PATEL 200 S Enota Dr Ne Ste 200, Gainesville, GA 30501-3466
1518283282 DR. MAHMOUD HASSIAN ABDOU 200 S Enota Dr Ne Ste 200, Gainesville, GA 30501-3466
1265726384 DR. PAVANI KOLAKALAPUDI 200 S Enota Dr Ne Ste 200, Gainesville, GA 30501-3466
1467972216 MAGGIE WARD 200 S Enota Dr Ne Ste 200, Gainesville, GA 30501-3466
1225550106 TRAM B CONTRERAS 200 S Enota Dr Ne Ste 200, Gainesville, GA 30501-3466

Competitor

Search similar physicians

City GAINESVILLE
Zip Code 30501

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.