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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MR. MATTHEW LEE PENSE, IDEPENDENT DUTY CORP

Active Sole Proprietor

MR. MATTHEW LEE PENSE, IDEPENDENT DUTY CORP is a Military Health Care Provider healthcare provider located in ALBANY, Georgia. NPI 1144490202 is currently active in the NPPES registry. Verify at CMS.

Military Health Care Provider · ALBANY, GA

Registration Details

NPI Number
1144490202
Provider Type
Individual
Gender
Male
NPI Issued
Mar 5, 2008 (18.257565135066 yrs)
Last Updated
Mar 5, 2008
Sole Proprietor
Yes

Practice Information

Address
814 RADFORD BLVD
ALBANY, GA, 317049998
Browse GA providers · Browse ZIP 31704
Phone
2296397886
Primary Specialty
Military Health Care Provider
171000000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.