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Individual

PREETI P MATKINS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

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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