Dr. Matthew Anthony Threadgill

M.D. | Pediatrics | Male

Dr. Matthew Anthony Threadgill, M.D. is a Augusta, Georgia based Pediatric doctor with medical specialization in General Pediatrics. Current practice location of Dr. Matthew Anthony Threadgill is 1245 Augusta West Pkwy, Augusta, Georgia - 30909-1807. He can be contacted on phone at 706-868-0389 and fax number 706-651-0729. Dr. Matthew Anthony Threadgill is a sole proprietor of his business.
NPI number (Unique professional ID) for Dr. Matthew Anthony Threadgill is 1376740977 which was assigned by NPPES on 28 Jun, 2007 and it was last updated on 20 Jul, 2010. Dr. Matthew Anthony Threadgill license number is 002452 for Pediatrics (208000000X) in Georgia.
Dr. Matthew Anthony Threadgill is a pediatrician who is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Complete Profile:
Dr. Matthew Anthony Threadgill basic information including his official name, gender, specialization, credentials etc. are as mentioned below.
Specialization :Pediatrics
Provider Name :Dr. Matthew Anthony Threadgill
Credential :M.D.
Gender :Male
Business Address:
Dr. Matthew Anthony Threadgill address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
Primary Address :1245 Augusta West Pkwy
Augusta, GA, 30909-1807
United States
Phone Number :706-868-0389
Fax Number :706-651-0729
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
NPI Number : 1376740977
NPI Entity Type : Individual
First Enrolment Date : 28 Jun, 2007
Last Updated On : 20 Jul, 2010
Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. Matthew Anthony Threadgill are as mentioned. Primary taxonomy code for Dr. Matthew Anthony Threadgill, M.D. is 208000000X (Pediatrics).
Taxonomy Code SpecialityPrimaryLicense No.State
208000000XPediatricsYes002452GA
Legacy Identifiers:
Other legacy medical identifiers of Dr. Matthew Anthony Threadgill such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
IdentifierIdentifier TypeStateIssuer
286300162AMEDICAIDGA
064081OtherGAGA LICENSES
002452OtherGARESIDENCY TRAINING PERMIT
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
Mailing Address :1245 Augusta West Pkwy
Augusta, GA, 30909-1807
United States
Phone Number :706-868-0389
Fax Number :706-651-0729
Business Location:
Patients can refer following map for directions to Dr. Matthew Anthony Threadgill practice address. Don't forget to take prior appointment before visiting.

** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES.