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Individual

MR. MATTHEW A VARGO

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
CRNA

Contact information

Practice address
200 HAWTHORNE LN, CHARLOTTE, NC 28204-2515
(704) 384-4239
(704) 384-5636
Mailing address
13113 ATKINS CIRCLE DR, APT 101, CHARLOTTE, NC 28277-3777
(704) 384-4274
(704) 384-5636

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
070172
NC
367500000X
Certified Registered Nurse Anesthetist
APN10846
TN
367500000X
Certified Registered Nurse Anesthetist
RN101773
TN
367500000X
Certified Registered Nurse Anesthetist
RN116871
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
363218
TN
05
NAN817
SC
Enumeration date
03/01/2006
Last updated
10/27/2020
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