Individual
VAUGHN MITCHELL MATACALE
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1705 TARBORO ST SW, WILSON, NC 27893-3428
(252) 399-8040
(252) 399-8829
Mailing address
1705 TARBORO ST SW, WILSON, NC 27893-3428
(252) 399-8040
(252) 399-8829
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
89135JX
—
NC
Enumeration date
03/20/2006
Last updated
07/08/2007
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