Individual
MR. MATTHEW EATON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
1638 OWEN DR, FAYETTEVILLE, NC 28304-3424
(910) 609-6440
(910) 609-5365
Mailing address
PO BOX 40908, FAYETTEVILLE, NC 28309-0908
(910) 609-6448
(910) 609-7040
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
153039
NC
367500000X
Certified Registered Nurse Anesthetist
Primary
213
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
182194
MEDCOST
NC
05
—
8052299
—
NC
Enumeration date
08/18/2005
Last updated
07/07/2025
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