Individual
DR. MATTHEW J MLOT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1202 MEDICAL CENTER DR, WILMINGTON, NC 28401-7307
(910) 341-3343
(910) 341-3320
Mailing address
1202 MEDICAL CENTER DR, WILMINGTON, NC 28401-7307
(910) 341-3343
(910) 341-3320
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
79126
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0547N
BCBS NC
NC
05
—
891357T
—
NC
01
—
P00068298
RAILROAD MEDICARE
NC
Enumeration date
08/14/2006
Last updated
08/12/2014
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