Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. CLYDE COLUMBUS MATHISON II, MD
ActiveDR. CLYDE COLUMBUS MATHISON II, MD is a Otolaryngology healthcare provider located in FARRAGUT, Tennessee. NPI 1154505428 is currently active in the NPPES registry. Verify at CMS.
Otolaryngology · FARRAGUT, TN
Registration Details
- NPI Number
- 1154505428
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Dec 21, 2007 (18.691861556408 yrs)
- Last Updated
- Aug 17, 2018
- License
-
47129 (TN)
Practice Information
- Address
-
144 CONCORD RD DEPT OFFARRAGUT, TN, 379342901Browse TN providers · Browse ZIP 37934
- Phone
- 8657771727
- Fax
- 8659660942
- Primary Specialty
-
Otolaryngology
207Y00000X
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.