Overview
No Referral Sources
No Referral Destinations
Practice Locations 1 Same Address Same Phone
No Medical Groups
No Affl. Hospitals
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Primary Practice Address
5462 MEMORIAL DR STE 103
STONE MOUNTAIN, GA 30083-3239 US
PECOS Enrolled

Shawn Mathew

General Dentist


Overview

Shawn Mathew is a General Dentist in the STONE MOUNTAIN area. Shawn Mathew primary office location is at 5462 MEMORIAL DR STE 103 and new patients are welcome to contact this healthcare provider for an appointment. The NPI number is 1003492281 and the information was updated approximately 1 year ago.

We have not detected any Exclusions tied directly to this NPI.

Accepts Medicare Assignment: Unknown

Is sole proprietor: NO

Participates in PECOS: YES (See any PECOS details below)

Contact Information

Primary Practice Location Information
5462 MEMORIAL DR STE 103
STONE MOUNTAIN, GA 30083-3239 US
Phone: (770)-469-1331
Fax:
Practice Mailing Information
2700 MARTIN LUTHER KING JR BLVD
DETROIT, MI 30083-3239 US
Phone: (313)-494-6873
Fax:
License NumberState
2951000843MI

No Identifiers found

PECOS Details:

Participates in PECOS: YES
PECOS Individual Enrollment ID:
PECOS Individual PAC ID:
Eligible to order/refer Part B Clinical Laboratory and Imaging Yes
Eligible to order/refer Durable Medical Equipment (DME) Yes
Eligible to order/refer Home Health Agency (HHA) Yes
Eligible to order/refer Power Mobility Devices (PMD) -