Individual
JOSHUA MATRACHISIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
MEDICAL CENTER BLVD, WINSTON SALEM, NC 27157-0001
(336) 716-2011
Mailing address
1202 MEDICAL CENTER DR, WILMINGTON, NC 28401-7307
(910) 617-6705
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
2021-00521
NC
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/14/2015
Last updated
07/13/2021
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