Individual provider · NPI-1
Scott Matson, DO
Obstetrics & Gynecology · Tazewell, TN
NPI number1306896162
StatusActive
Last updated in NPPESOct 11, 2024
Details
- NPI
- 1306896162
- Entity type
- Individual (NPI-1)
- Name
- Scott Matson
- Credential
- DO
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- May 11, 2006
- Certification date
- Oct 11, 2024
- Last updated
- Oct 11, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207V00000X | Obstetrics & Gynecology | DO1498 | TN | Yes |
| 207Q00000X | Family Medicine | DO1498 | TN |
Practice location
1720 Church St Ste 4Tazewell, TN 37879-3004
Phone 423-626-2410 · Fax 423-626-2591
Mailing address
1720 Church St Ste 4Tazewell, TN 37879-3004
Phone 423-626-2410 · Fax 423-626-2591
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