Individual
MATTHEW MATHIAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
6020 FAYETTEVILLE RD, DURHAM, NC 27713-9754
(919) 620-4467
Mailing address
6020 FAYETTEVILLE RD, TRIANGLE FAMILY PRACTICE, DURHAM, NC 27713-9754
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
2005-00384
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5900586
—
NC
Enumeration date
10/26/2006
Last updated
02/05/2008
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