Individual provider · NPI-1

Dr. Matthew Charles Agan, M.D.

Psychiatry & Neurology, Neurology · Marietta, GA

NPI number1013250679
StatusActive
Last updated in NPPESAug 15, 2018

Details

NPI
1013250679
Entity type
Individual (NPI-1)
Name
Dr. Matthew Charles Agan
Credential
M.D.
Sex
Male
Sole proprietor
No
Enumeration date
Apr 2, 2013
Last updated
Aug 15, 2018

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
2084N0400X Psychiatry & Neurology, Neurology078898GAYes

Practice location

780 Canton Rd Ne Ste 400
Marietta, GA 30060-7298

Phone 770-488-3602

Mailing address

780 Canton Rd Ne Ste 400
Marietta, GA 30060-7298

Phone 770-488-3602

Other practice locations

1364 Clifton Rd Ne
Atlanta, GA 30322-1059

Phone 404-778-0263 · Fax 404-778-1601

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