Waldron, Matthew Craig

Waldron, Matthew Craig is an individual health care provider with primary practice located at 1765 Old West Broad St , Athens GA 30606-2853. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Waldron, Matthew Craig can be contacted via phone (706) 549-1663.

Contact Information

Primary practice address
1765 Old West Broad St Athens GA 30606-2853
Phone: (706) 549-1663
Fax: (706) 546-8792
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 6722 Georgia

Profile Details

NPI number 1700125770
LBN Legal business name Waldron, Matthew Craig
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 11th, 2013
Last updated Jan 29th, 2026 - about 10 months 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 1700125770 NPPES
Other 12546390 CAQH NUMBER

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