Individual
MATTHEW WAYNE AMMONS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
607 BEAMAN ST, CLINTON, NC 28328-2603
(910) 592-8511
Mailing address
607 BEAMAN ST, CLINTON, NC 28328-2603
(910) 593-8511
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
RTL-230571
NC
390200000X
Student in an Organized Health Care Education/Training Program
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Other
Enumeration date
03/27/2023
Last updated
07/27/2023
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