Individual
MATTHEW MICHAEL MCDONOUGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2817 ROCK MERRITT AVENUE, FORT LIBERTY, NC 28310-0001
(910) 907-6000
Mailing address
115 N LEE ST APT 204, ALEXANDRIA, VA 22314-3243
Taxonomy
Speciality
Code
Description
License number
State
171000000X
Military Health Care Provider
Primary
—
—
Other
Enumeration date
05/06/2024
Last updated
05/06/2024
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