Whalio Doctors

NPI 1851373195

C Mathews Paine, MD

Practitioner Diagnostic Radiology Physician Moultrie, GA

Practice location

Address
3131 S Main St, Moultrie, GA 31768-6925
Phone
(229) 985-8802
Fax
(229) 891-2016
Mailing address
PO Box 2977, Moultrie, GA 31776-2977

Registered specialties

Diagnostic Radiology Physician Primary
Allopathic & Osteopathic Physicians Taxonomy 2085R0202X Licence 022171 (GA)

Registry record

NPI
1851373195
Entity type
Individual
Sex (as registered)
Male
NPI issued
14 Nov 2005
Record last updated
10 Oct 2011

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.