Organization
DAVID C MATTHEWS MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID C MATTHEWS M.D. (OWNER)
(704) 375-2955
Entity
Organization
Contact information
Practice address
1719 SOUTH BLVD, STE B, CHARLOTTE, NC 28203-4727
(704) 375-2955
(704) 377-2766
Mailing address
1719 SOUTH BLVD, STE B, CHARLOTTE, NC 28203-4727
(704) 375-2955
(704) 377-2766
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
54819
BCBS OF NC
NC
05
—
8954819
—
NC
Enumeration date
03/14/2007
Last updated
03/11/2009
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