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Individual

JAMES DANIEL MATTHEWS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
NP

Contact information

Practice address
628 E 12TH ST, WASHINGTON, NC 27889-3409
(252) 975-4100
Mailing address
100 LOUDON CT, GREENVILLE, NC 27834-4544
(252) 809-3857

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
305408
NC
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
5019672
NC

Other

Enumeration date
09/05/2023
Last updated
02/23/2024
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