Individual
DR. MATTHEW T MANZO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
10 AVIEMORE DRIVE, PINEHURST, NC 28374
(910) 215-5555
(910) 215-0366
Mailing address
10 AVIEMORE DRIVE, PINEHURST, NC 28374
(910) 215-5555
(910) 215-6134
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
36221
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2182209D
MEDICARE
NC
01
—
53849
BCBS INDIVIDUAL
NC
05
—
8953849
—
NC
Enumeration date
05/05/2006
Last updated
12/14/2009
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