Individual
TREVOR MATTOX
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
ONE MEDICAL CENTER BLVD, WINSTON SALEM, NC 27157-0001
(336) 716-4625
Mailing address
ONE MEDICAL CENTER BLVD, WINSTON SALEM, NC 27157-0001
(336) 716-4625
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
04-44599
KS
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/26/2018
Last updated
08/11/2021
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