Individual
MATTHEW RYAN ELLIOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3158 FREEDOM DR STE 3101, CHARLOTTE, NC 28208-0014
(704) 348-2992
(704) 971-0035
Mailing address
3158 FREEDOM DR STE 3102, CHARLOTTE, NC 28208-0014
(704) 971-7099
(704) 971-0035
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
2012-00895
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5920982
—
NC
Enumeration date
07/10/2008
Last updated
04/14/2025
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