Doctor Name: | DR. MATTHEW DAVID GIVENS |
NPI Number: | 1275737918 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MD |
License Number: | 01063196A |
Business Practice Address: | 300 N Hospital Rd Eisenhower Army Medical Center Ft Gordon, GA - 309050001 |
Business Phone Number: | 7067874501 |
Business Fax Number: | |
Mailing Address: | 501 Avrett Ct, EVANS |
State: | GA |
Postal Code: | 308096671 |
Phone Number: | 2534419338 |
Fax Number: | |
NPI Enumeration Date: | 06/14/2007 |
NPI Last Update Date: | 04/05/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2085R0202X |
License Number: | 01063196A |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | IN |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Radiology |
Taxonomy Specialization: | Diagnostic Radiology |
Taxonomy Definition: | A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |