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Individual

DR. MATTHEW JAMES PARKER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
604 MEDICAL DR, GREENVILLE, NC 27834-7503
(252) 744-6683
(252) 744-9617
Mailing address
PO BOX 751069, CHARLOTTE, NC 28275-1069

Taxonomy

Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
2016-01654
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1447511555
NC
01
19M3R
BCBS OF NC
NC
01
NCU231B
MEDICARE
NC
Enumeration date
06/05/2012
Last updated
02/27/2024
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