Individual
MR. MATTHEW W. BARRAGREE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
1000 BLYTHE BLVD, ANESTHESIA SERVICES - 5TH FLOOR, CHARLOTTE, NC 28203-5812
(704) 355-8983
Mailing address
PO BOX 32861, ANESTHESIA SERVICES - 5TH FLOOR SURGERY TOWER, CHARLOTTE, NC 28232-2861
(704) 355-8983
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
198772
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8053015
—
NC
05
—
NAN805
—
SC
Enumeration date
10/17/2007
Last updated
06/29/2010
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