Individual
PREETI P MATKINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3541 RANDOLPH RD, SUITE 206, CHARLOTTE, NC 28211-1253
(704) 381-8336
(704) 381-8332
Mailing address
PO BOX 601372, CHARLOTTE, NC 28260-1372
(704) 381-8336
(704) 381-8332
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
9500136
NC
2080A0000X
Pediatric Adolescent Medicine Physician
9500136
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
54848
NCBCBS
NC
05
—
8954848
—
NC
05
—
N00136
—
SC
Enumeration date
07/08/2006
Last updated
01/06/2017
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