Search › Georgia › 103TH0004X
Matthew Kridel, PHD
NPI 1588221808 · on the registry since 2019
Practice
- Address
- 997 Saint Sebastian Way
Augusta, GA 30912 - Phone
- (706) 721-6719
- Clinicians at this address
- 48
Registry record
- Primary taxonomy
- 103TH0004X
103TH0004X
- Also registered as
- 390200000X
- Licence states on file
- GA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2021-09-22
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Georgia