Mathews, Wayne S

Mathews, Wayne S is an individual health care provider with primary practice located at 1120 15Th St Room 2144, Augusta GA 30912-0004. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as his primary health care specialty. Mathews, Wayne S can be contacted via phone (706) 721-3873.

Contact Information

Primary practice address
1120 15Th St Room 2144 Augusta GA 30912-0004
Phone: (706) 721-3873
Fax: (706) 721-7763
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X 022834 Georgia

Profile Details

NPI number 1558434605
LBN Legal business name Mathews, Wayne S
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 16th, 2006
Last updated Jun 15th, 2008 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1558434605 NPPES
Georgia Other 550789920 TRICARE
Georgia MEDICAID 000263964B TRICARE
Georgia Other 050091609 TRICARE
Georgia MEDICAID 000263964C TRICARE
Georgia Other 048400 TRICARE
Georgia Other 339265 TRICARE
Georgia MEDICAID G22834 TRICARE

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