Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1223G0001X | General Practice | 8378 | MD |
Y | 213EG0000X | General Practice | 8378 | MD |
NPI | 1003886102 |
---|---|
Provider Name | Dr. James Scott Matthews |
First Address | Virginia Beach, VA 23455-6818 |
Second Address | Virginia Beach, VA 23460-2218 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 23/01/2006 |
Last Update Date | 08/07/2007 |