Individual
MATTHEW L HANLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1000 BLYTHE BLVD, EMERGENCY DEPT, CHARLOTTE, NC 28203-5812
(704) 355-2171
Mailing address
PO BOX 601372, CHARLOTTE, NC 28260-1372
(704) 355-2171
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
0101230818
VA
207P00000X
Emergency Medicine Physician
Primary
9901193
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1174573133
—
NC
05
—
NC1741
—
SC
Enumeration date
05/11/2006
Last updated
02/23/2017
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