Provider Demographics
NPI:1497773667
Name:MATTHEWS, HUBERT I (MD)
Entity Type:Individual
Prefix:DR
First Name:HUBERT
Middle Name:I
Last Name:MATTHEWS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6990 WINTON BLOUNT BLVD
Mailing Address - Street 2:
Mailing Address - City:MONTGOMERY
Mailing Address - State:AL
Mailing Address - Zip Code:36117-3556
Mailing Address - Country:US
Mailing Address - Phone:334-260-8718
Mailing Address - Fax:334-260-8705
Practice Address - Street 1:6990 WINTON BLOUNT BLVD
Practice Address - Street 2:
Practice Address - City:MONTGOMERY
Practice Address - State:AL
Practice Address - Zip Code:36117-3556
Practice Address - Country:US
Practice Address - Phone:334-260-8718
Practice Address - Fax:334-260-8705
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-17
Last Update Date:2010-02-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL5576174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist