Male or Other

Matthew T. Gaines MD

Internal Medicine Physician in Flowood, MS(View on Map)

Full Name

Matthew T Gaines MD

NPI Number

1205802667

NPI Type

Individual Provider

Gender

Male

Enumeration Date

02/27/2006

Specialties

(Taxonomies)

Code

207R00000X

Primary Taxonomy

Yes

Licenses

State

Mississippi

License Number

18092

Contact
Information

Purpose

Mailing
Location

Address

2129 CONSERVATION DR
1030 RIVER OAKS DR

City

Waverly
Flowood

State

AL
MS

Postal Code

36879-5401
39232

Country

US
US

Telephone Number

N/A
(601) 936-1030

Identifiers

Identifier

00125422

Identifier State

MS

Identifier Issuer

Unknown

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 05/13/2010

Provider Address

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