Individual
JAY MATTHEWS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
4568 US HIGHWAY 220 N, SUMMERFIELD, NC 27358-9412
(336) 644-1765
Mailing address
7715 HIGH MEADOWS RD, GREENSBORO, NC 27455-8224
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
07471
NC
Other
Enumeration date
08/14/2015
Last updated
08/14/2015
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