Individual
DR. COY RANDOLPH MATTHEWS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
100 W ROSS BLVD STE 1B, DODGE CITY, KS 67801-7217
(620) 371-5576
Mailing address
800 JEFFERSON ST, SUITE 116, WHITEVILLE, NC 28472-3702
(910) 642-2642
(910) 642-3346
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
04-44067
KS
208000000X
Pediatrics Physician
36388
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8954811
—
NC
Enumeration date
03/27/2006
Last updated
08/25/2022
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