MR. John Wiley Matlock, PA

NPI #1699781708 in Murfreesboro, Tennessee

Provider Information

NPI Number: 1699781708
Entity Type: Individual
Name: MR. John Wiley Matlock, PA
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PA
Enumeration Date: Jul 31, 2006
Last Updated: Jul 9, 2007

Practice Location

Address: 3400 LEBANON RD
City: Murfreesboro
State: Tennessee
ZIP Code: 37129-1237
Phone: (615) 893-1360

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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