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

MATTHEW D STIMSON, CPED, CPOA, CFO

Active Sole Proprietor

MATTHEW D STIMSON, CPED, CPOA, CFO is a 224L00000X healthcare provider located in LA FOLLETTE, Tennessee. NPI 1942780580 is currently active in the NPPES registry. Verify at CMS.

224L00000X · LA FOLLETTE, TN

Registration Details

NPI Number
1942780580
Provider Type
Individual
Gender
Male
NPI Issued
Aug 14, 2018 (8.0141667982981 yrs)
Last Updated
Aug 14, 2018
Licenses
CFO03775 (TN)
PED109 (TN)
Sole Proprietor
Yes

Practice Information

Address
2435 JACKSBORO PIKE STE 3
LA FOLLETTE, TN, 377662912
Browse TN providers · Browse ZIP 37766
Phone
4234498135
Primary Specialty
224L00000X
224L00000X
Additional Specialty
224L00000X
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.