Individual
DR. MATTHEW WEST BLANTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3633 HARDEN RD, SUITE 200, RALEIGH, NC 27607-3369
(919) 785-0505
Mailing address
3633 HARDEN RD, SUITE 200, RALEIGH, NC 27607-3369
(919) 785-0505
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
2009-00275
NC
208600000X
Surgery Physician
11011245A
IN
Other
Enumeration date
05/22/2008
Last updated
06/01/2016
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