Individual
CONNOR ALEXANDER MATAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
214 BUSH RIVER DR, FARMVILLE, VA 23901-3179
(704) 495-2396
Mailing address
150 SUNDOWN COVE DR, MOORESVILLE, NC 28117-9188
(704) 495-2396
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
08/12/2024
Last updated
08/12/2024
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