Individual provider · Type 1 NPI

Matthew James Dellen, MD

Student in an Organized Health Care Education/Training Program · Fort Gordon, GA

NPI number 1013641406 Active

Practice location

300 E Hospital Rd
Fort Gordon, GA 30905

Call (706) 787-5811 Map

Mailing address

202 Williamsburg Rd Apt 1104
Hephzibah, GA 30815-6574

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1013641406

Matthew James Dellen, MD's National Provider Identifier is 1013641406, issued on Jul 12, 2022. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Fort Gordon, GA. The record was last updated on Jul 12, 2022.