Reschly, Matthew J
Reschly, Matthew J is an individual health care provider with primary practice located at 2000 Riverside Pkwy Ste 100 , Lawrenceville GA 30043-5926. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Dermatopathology, Allopathic & Osteopathic Physicians / Procedural Dermatology, Allopathic & Osteopathic Physicians / Dermatology. Allopathic & Osteopathic Physicians / Dermatology is his primary health care specialty. Reschly, Matthew J can be contacted via phone (470) 273-7233.Contact Information
Primary practice address
2000 Riverside Pkwy Ste 100
Lawrenceville GA 30043-5926
Phone: (470) 273-7233
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Dermatopathology | 207ND0900X | 053393 | Georgia |
| Allopathic & Osteopathic Physicians / Procedural Dermatology | 207NS0135X | 053393 | Georgia |
| Allopathic & Osteopathic Physicians / Dermatology | 207N00000X | 053393 | Georgia |
Profile Details
| NPI number | 1417949777 |
|---|---|
| LBN Legal business name | Reschly, Matthew J |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 22nd, 2005 |
| Last updated | Mar 27th, 2023 - about 3 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1417949777 | NPPES |
| Georgia | MEDICAID | 749377509C | |
| Georgia | MEDICAID | 749377509E | |
| Georgia | MEDICAID | 749377509D | |
| Georgia | Other | P00119685 | |
| Georgia | Other | 703213 | |
| Georgia | MEDICAID | 749377509A |
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