Individual
DR. JAMES C. MATHEWS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
3400 WAKE FOREST ROAD, DURHAM, NC 27713-4430
(919) 954-3271
Mailing address
5213 S ALSTON AVE, DURHAM, NC 27713-4430
(847) 924-8265
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
036-117010
IL
207P00000X
Emergency Medicine Physician
Primary
2011-00660
NC
207P00000X
Emergency Medicine Physician
5101018516
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
036-117010
STATE MEDICAL LICENSE
IL
01
—
5101018516
MICHIGAN MEDICAL LICENSE
MI
Enumeration date
02/09/2007
Last updated
09/13/2012
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