Organization
NOVANT HEALTH MATTHEWS MEDICAL CENTER LLC
Active
Other names
Professional Services of Presbyterian Matthews
Organization subpart
No
Provider details
NPI number
Authorized official
ZACHARY SCOTT LANDRY (PRESIDENT)
(704) 384-6367
Entity
Organization
Contact information
Practice address
1500 MATTHEWS TOWNSHIP PKWY, MATTHEWS, NC 28105
(704) 384-6500
Mailing address
2085 FRONTIS PLAZA BLVD, 2ND FLOOR, BD&S, WINSTON SALEM, NC 27103-5614
(336) 277-1147
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0769R
BCBS
—
05
—
890769R
—
NC
Enumeration date
12/06/2006
Last updated
03/21/2025
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