MR. FARRELL MATTHEWS JR. COMS
NPI 1790021012
Specialist/Technologist - Rehabilitation, Blind in Augusta, GA
Active since December 13, 2012
About Mr. Farrell Matthews Jr. Coms NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MR. FARRELL MATTHEWS JR. COMS (NPI 1790021012) is an individual rehabilitation, blind provider in Augusta, Georgia, licensed in Georgia (1632) and active in the NPI registry since December 2012.
NPPES Registry Identity
NPI1790021012
Entity TypeIndividualMale
Primary Taxonomy2255R0406X
Provider Legal NameMR. FARRELL MATTHEWS JR.Credential: COMS
Location Address2807 WASHINGTON RD, B-104Augusta, GA 30909-7100
Mailing Address2807 Washington Rd, B-104Augusta, GA 30909-7100 · (404) 849-1344
Phone(404) 849-1344
Sole ProprietorYes
Enumeration DateDecember 13, 2012
✔ NPI 1790021012 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtySpecialist/Technologist · Rehabilitation, BlindRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code2255R0406X
License✔ Licensed in GA · 1632
2807 WASHINGTON RD, Augusta, GA 30909
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1790021012, enumerated as an "individual" on December 13, 2012.
The provider is located at 2807 WASHINGTON RD B-104 AUGUSTA, GA 30909 and the phone number is (404) 849-1344.
Specialist/Technologist with taxonomy code 2255R0406X and a focus in Rehabilitation, Blind.
