Dr MATTHEW DEMORE III is a male medical professional, specializing in Podiatry. He graduated in 1986 from Ohio College Of Podiatric Medicine.
VIDALIA ORTHOPEDIC CENTER, LLC
1707 MEADOWS LN
H
VIDALIA
GA
304747201
Tel: 9125380040
| Npi | 1659378750 |
| Pac Id | 6305974379 |
| Professional Enrollment Id | I20170117001376 |
| Last Name | DEMORE |
| First Name | MATTHEW |
| Middle Name | |
| Suffix | III |
| Gender | M |
| Credential | |
| Medical School Name | OHIO COLLEGE OF PODIATRIC MEDICINE |
| Graduation Year | 1986 |
| Primary Specialty | PODIATRY |
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| Organization Legal Name | VIDALIA ORTHOPEDIC CENTER, LLC |
| Group Practice Pac Id | 5395883847 |
| Number Of Group Practice Members | 3 |
| Line 1 Street Address | 1707 MEADOWS LN |
| Line 2 Street Address | H |
| Marker Of Address Line 2 Suppression | |
| City | VIDALIA |
| State | GA |
| Zip Code | 304747201 |
| Phone Number | 9125380040 |
| Hospital Affiliation Ccn 1 | 110128 |
| Hospital Affiliation Lbn 1 | MEADOWS REGIONAL MEDICAL CENTER |
| Hospital Affiliation Ccn 2 | |
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| Professional Accepts Medicare Assignment | M |
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