Individual
MATTHEW JAMES LOCKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3623 LATROBE DR STE 216, CHARLOTTE, NC 28211-2117
(704) 332-1291
(704) 926-1832
Mailing address
PO BOX 221249, CHARLOTTE, NC 28222-1249
(980) 208-1704
(704) 926-1832
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
2021-00078
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2021-00078
DIAGNOSTIC RADIOLOGY
NC
Enumeration date
03/29/2009
Last updated
02/07/2021
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