Individual
DR. CAROLYN M MATTHEWS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
8640 SUDLEY RD STE 303, MANASSAS, VA 20110-4404
(571) 261-3529
Mailing address
PO BOX 748613, ATLANTA, GA 30374-8613
Taxonomy
Speciality
Code
Description
License number
State
207VX0201X
Gynecologic Oncology Physician
Primary
0101043061
VA
207VX0201X
Gynecologic Oncology Physician
H7786
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000V7922
—
NM
05
—
100221480A
—
OK
05
—
139789501
—
TX
05
—
139789502
—
TX
05
—
139789503
—
TX
05
—
139789505
—
TX
05
—
139789506
—
TX
05
—
139789507
—
TX
05
—
139789508
—
TX
05
—
139789509
—
TX
05
—
139789511
—
TX
05
—
139789519
—
TX
05
—
139789520
—
TX
01
—
8R1498
BLUE CROSS OF TX
TX
Enumeration date
06/13/2006
Last updated
02/28/2023
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