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1376740977
MATTHEW ANTHONY THREADGILL
AUGUSTA, GA
NPI
1376740977
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
208000000X Pediatrics
(Licence: GA 002452)
Enumeration Date
2007-06-28
Last Update Date
2010-07-20
Business Address
Dr. MATTHEW ANTHONY THREADGILL M.D.
1245 AUGUSTA WEST PKWY
AUGUSTA, GA 30909-1807
Phone number: 706-868-0389
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Mailing Address
Dr. MATTHEW ANTHONY THREADGILL M.D.
1245 AUGUSTA WEST PKWY
AUGUSTA, GA 30909-1807
Phone number: 706-868-0389
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