Individual
MATTHEW BLAKE SEAGLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
FNP-BC
Contact information
Practice address
1470 E GASTON ST, LINCOLNTON, NC 28092-4431
(704) 735-7474
Mailing address
7811 BAILEY RD, CONNELLY SPRINGS, NC 28612-7821
(828) 962-5849
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
5012133
NC
Other
Enumeration date
08/15/2019
Last updated
08/15/2019
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