Individual
THOMAS MATHEW
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2730 ARNOLD RD, HAMPTONVILLE, NC 27020-7106
(336) 469-1642
Mailing address
2730 ARNOLD RD, SUITE 2, HAMPTONVILLE, NC 27020-4038
(336) 468-1642
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
0101036233
VA
207L00000X
Anesthesiology Physician
Primary
09592
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
005738962
—
VA
05
—
0057893000
—
WV
Enumeration date
08/10/2006
Last updated
08/02/2011
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