NPI 1013641406

Matthew James Dellen, MD

Practitioner Student in an Organized Health Care Education/Training Program Fort Gordon, GA

Practice location

Address: 300 E Hospital Rd, Fort Gordon, GA 30905
Phone: (706) 787-5811
Mailing address: 202 Williamsburg Rd APT 1104, Hephzibah, GA 30815-6574

Registered specialties

Student in an Organized Health Care Education/Training Program Primary

Student, Health Care Taxonomy 390200000X

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Registry record

NPI: 1013641406
Entity type: Individual
Sex (as registered): Male
NPI issued: 12 Jul 2022
Record last updated: 12 Jul 2022

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.