Shawn B. Mathews M.D.
Otolaryngology Physician in Lagrange, GA(View on Map)
Full Name
Shawn Bell Mathews M.D.
NPI Number
1043341043
NPI Type
Individual Provider
Gender
Male
Enumeration Date
03/08/2007
Specialties
(Taxonomies)Licenses
State
Georgia
License Number
079724
Contact
Information
Purpose
Mailing
Location
Address
300 MEDICAL DR STE 705
300 MEDICAL DR STE 705
City
Lagrange
Lagrange
State
GA
GA
Postal Code
30240-4130
30240-4130
Country
US
US
Telephone Number
(706) 803-7960
(706) 803-7960
Identifiers
Identifier
AZ0728210
755879
Identifier State
AZ
AZ
Identifier Issuer
BLUE CROSS BLUE SHIELD
Unknown
Health Information Exchange
Endpoint Type
DIRECT
Endpoint
smathews164493@directwellstar.org
Endpoint Description
Unknown
Use
Unknown
Content Type
Unknown
Affiliation
N
Endpoint Location
300 Medical Dr Ste 705LaGrange, GA302404130US
Provider data last refreshed from NPPES NPI registry on 11/19/2024
Data last updated by provider on 04/01/2024
Provider Address
Other Otolaryngology Physicians in Lagrange, Georgia:
Diane Mcgowan M.D.
Lagrange, GASpecialties: Otolaryngology PhysicianOtolaryngology/Facial Plastic Surgery PhysicianPlastic Surgery within the Head & Neck (Otolaryngology) Physician