MR. Thomas Jones Matherly, PA C

NPI #1023085370 in Fort Bragg, North Carolina

Provider Information

NPI Number: 1023085370
Entity Type: Individual
Name: MR. Thomas Jones Matherly, PA C
Gender: Not Specified
Sole Proprietor: Not Answered
Primary Specialty: Physician Assistant
Credential: PA C
Enumeration Date: Mar 7, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 2817 REILLY ROAD
Address 2: WOMACK ARMY MEDICAL CENTER DOOH PES MEB
City: Fort Bragg
State: North Carolina
ZIP Code: 28310
Phone: (910) 907-8602

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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