Individual
MR. MATTHEW EDWIN LIBBY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LDO
Contact information
Practice address
1105 W CHAPEL HILL ST, SUITE #3, DURHAM, NC 27701-3059
(919) 302-1495
Mailing address
1105 W CHAPEL HILL ST, SUITE #3, DURHAM, NC 27701-3059
(919) 302-1495
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
1960
NC
Other
Enumeration date
03/17/2011
Last updated
03/17/2011
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