Most Relevant Information
Provider Data
| NPI Number: | 1003307661 |
| Provider Name: | MATTHEW D GATTON QMHS |
| Entity Type: | Individual |
| Taxonomy Code: | 172V00000X |
| Specialty: | Community Health Worker |
| License Number: |
Most Important Dates
| Enumeration Date: | 05/19/2018 |
| Last Updated: | 05/19/2018 |
Provider Practice Location
195 N GRANT AVE STE 250
COLUMBUS
OH
432152855
Practice Location Phone/Fax
| Phone: | 4402608300 |
| Fax: |
Provider Mailing Location
434 EASTLAND RD
BEREA
OH
440171217
Provider Mailing Phone/Fax
| Phone: | 4402342006 |
| Fax: |