Individual
MATTHEW P CHAMBERLAIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
91 ENTERPRISE DR, ROCKY MOUNT, NC 27804-9590
(252) 451-3200
(252) 937-3107
Mailing address
PO BOX 7200, ROCKY MOUNT, NC 27804-0200
(252) 937-0200
(252) 451-0056
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
35293
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
110095560
RAILROAD MEDICARE
NC
01
—
21939
BCBSNC
NC
01
—
5711074
CIGNA HEALTHCARE
NC
01
—
61344
MEDCOST
NC
05
—
8921939
—
NC
Enumeration date
09/08/2005
Last updated
02/20/2019
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