Individual
LILLIE MATTOX
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
1900 SCOTT AVE STE 200B, CHARLOTTE, NC 28203-6046
(704) 381-0260
(704) 381-0261
Mailing address
4525 CAMERON VALLEY PKWY STE 3100, CHARLOTTE, NC 28211-4377
(704) 534-6862
(704) 355-5168
Taxonomy
Speciality
Code
Description
License number
State
1835P2201X
Ambulatory Care Pharmacist
Primary
24742
NC
Other
Enumeration date
08/25/2025
Last updated
08/25/2025
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