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Individual
DR. MATTHEW BRYANT BLANCHARD
Active
Individual
DR. MATTHEW BRYANT BLANCHARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
208247
LA
207Q00000X
Family Medicine Physician
Primary
2019-02186
NC
390200000X
Student in an Organized Health Care Education/Training Program
—
NULL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2019-02186
NC STATE LICENSE
NC
Enumeration date
05/15/2012
Last updated
01/29/2020
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