Individual
MATTHEW R LEDOUX
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
600 MOYE BLVD, GREENVILLE, NC 27834-4300
(252) 744-0766
(252) 744-0392
Mailing address
PO BOX 751069, CHARLOTTE, NC 28275-1069
Taxonomy
Speciality
Code
Description
License number
State
2080P0203X
Pediatric Critical Care Medicine Physician
0101241291
VA
2080P0203X
Pediatric Critical Care Medicine Physician
Primary
2011-00581
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
163XH
BCBS NC
NC
05
—
5917922
—
NC
Enumeration date
06/08/2007
Last updated
02/19/2024
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