Provider Demographics
NPI:1720379829
Name:CHATFIELD, MATTHEW KENNETH (MD)
Entity Type:Individual
Prefix:DR
First Name:MATTHEW
Middle Name:KENNETH
Last Name:CHATFIELD
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:60 ERLANGER SOUTH DR
Mailing Address - Street 2:
Mailing Address - City:RINGGOLD
Mailing Address - State:GA
Mailing Address - Zip Code:30736-3179
Mailing Address - Country:US
Mailing Address - Phone:423-778-2900
Mailing Address - Fax:706-937-7207
Practice Address - Street 1:60 ERLANGER SOUTH DR
Practice Address - Street 2:
Practice Address - City:RINGGOLD
Practice Address - State:GA
Practice Address - Zip Code:30736
Practice Address - Country:US
Practice Address - Phone:423-778-2900
Practice Address - Fax:706-937-7207
Is Sole Proprietor?:No
Enumeration Date:2011-04-22
Last Update Date:2018-08-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN57728207Q00000X, 207QS0010X
GA074328207QS0010X, 207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
No207QS0010XAllopathic & Osteopathic PhysiciansFamily MedicineSports Medicine