Dr. Matthew Charles Agan
Neurologist
780 Canton Rd Ne Ste 400
Marietta
, Georgia 30060-7298
Dr. Matthew Charles Agan
Neurologist
780 Canton Rd Ne Ste 400
Marietta
, Georgia 30060-7298
(770) 488-3602
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About
Features
Specialties
- Neurologist
Languages spoken
- English
Location
First Address
- Dr. Matthew Charles Agan
- 780 Canton Rd Ne Ste 400
- Marietta, GA
- Zip : 30060-7298
- Phone : (770) 488-3602
Second Address
- Dr. Matthew Charles Agan
- 780 Canton Rd Ne Ste 400
- Marietta, GA
- Zip : 30060-7298
- Phone : (770) 488-3602
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 2084N0400X | Neurologist | 078898 | GA |
National Provider Identifier
| NPI | 1013250679 |
|---|---|
| Provider Name | Dr. Matthew Charles Agan |
| First Address | Marietta, GA 30060-7298 |
| Second Address | Marietta, GA 30060-7298 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 02/04/2013 |
| Last Update Date | 15/08/2018 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.