Individual
MRS. ELIZABETH ELLEN MATSAKIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
100 GOSSMAN RD, SOUTHERN PINES, NC 28387-2281
(910) 246-1000
Mailing address
PO BOX 891, ENKA, NC 28728-0891
(614) 565-6838
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
4301
NC
390200000X
Student in an Organized Health Care Education/Training Program
06608
OH
Other
Enumeration date
08/13/2007
Last updated
02/01/2010
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