Organization
MATTHEWS HEMATOLOGY ONCOLOGY ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RICHARD S FOULKE MD (OWNER)
(704) 847-0861
Entity
Organization
Contact information
Practice address
1700 MATTHEWS TOWNSHIP PKWY, MATTHEWS, NC 28105-4658
(704) 841-8151
(704) 841-9228
Mailing address
1700 MATTHEWS TOWNSHIP PKWY, MATTHEWS, NC 28105-4658
(704) 841-8151
(704) 841-9228
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
015W8
BLUE CROSS/BLUE SHIELD
NC
05
—
89015W8
—
NC
05
—
NPB040
—
SC
Enumeration date
05/24/2006
Last updated
10/03/2013
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