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MATTHEW TOBIAS MCCAULEY CRNP

>> Nurse Practitioner >> Physician Assistants & Advanced Practice Nursing Providers

Registrant NPI Number: 1700151396

Individual Registrant:
 MATTHEW TOBIAS MCCAULEY CRNP
Gender: M
Not Sole Proprietor

Location and contact information for practice:
13624 COUNTY ROAD 8  WOODVILLE, AL 35776-6162 US
Tel: 256-776-5615  Fax: 256-776-5617

Contact information for business:
309 TAYLOR ST  SCOTTSBORO, AL 35768-2421 US
Tel: 256-259-5313  Fax: 256-259-4923

Registration Information:
NPI: 1700151396
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y363L00000XPhysician Assistants & Advanced Practice Nursing Providers
Nurse Practitioner
AL1-126825

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType
142430AL05
145163AL05
TRICARE1700151396AL01
BC/BS OF ALABAMA51128618AL01




HEALTH CARE JOBS AL - Page 1



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