Provider Demographics
NPI:1164950937
Name:CAWLEY, MATTHEW DUNSMUIR (APRN, AGPCNP-BC)
Entity Type:Individual
Prefix:
First Name:MATTHEW
Middle Name:DUNSMUIR
Last Name:CAWLEY
Suffix:
Gender:M
Credentials:APRN, AGPCNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:310 EISENHOWER DR STE 12
Mailing Address - Street 2:
Mailing Address - City:SAVANNAH
Mailing Address - State:GA
Mailing Address - Zip Code:31406-2632
Mailing Address - Country:US
Mailing Address - Phone:912-417-3050
Mailing Address - Fax:912-349-1005
Practice Address - Street 1:310 EISENHOWER DR STE 12
Practice Address - Street 2:
Practice Address - City:SAVANNAH
Practice Address - State:GA
Practice Address - Zip Code:31406-2632
Practice Address - Country:US
Practice Address - Phone:912-417-3050
Practice Address - Fax:912-349-1005
Is Sole Proprietor?:No
Enumeration Date:2017-05-24
Last Update Date:2021-06-24
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
GARN221627363LA2200X, 363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health