Philip, Tiji Mathew
Philip, Tiji Mathew is an sole proprietor health care provider with primary practice located at 250 Parkbrooke Pl Suite 200, Woodstock GA 30189-6400. He recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Pediatrics. Allopathic & Osteopathic Physicians / Pediatrics is his primary health care specialty. Philip, Tiji Mathew can be contacted via phone (770) 928-0016.Contact Information
Primary practice address
250 Parkbrooke Pl Suite 200
Woodstock GA 30189-6400
Phone: (770) 928-0016
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X | ||
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 75647 | Georgia |
Profile Details
| NPI number | 1841528825 |
|---|---|
| LBN Legal business name | Philip, Tiji Mathew |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 2nd, 2009 |
| Last updated | May 4th, 2016 - about 10 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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