Individual
MATTHEW G KANAAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO , MS
Contact information
Practice address
3237 BLUE RIDGE RD, RALEIGH, NC 27612
(919) 781-7500
Mailing address
3100 BLUE RIDGE RD, RALEIGH, NC 27612-8036
Taxonomy
Speciality
Code
Description
License number
State
207QS0010X
Sports Medicine (Family Medicine) Physician
Primary
2010-01482
NC
Other
Enumeration date
04/06/2009
Last updated
11/13/2023
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