Individual
DR. MATTHEW CHARLES WAKEFIELD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1002 N CHURCH ST, STE 302, GREENSBORO, NC 27401-1439
(336) 387-8100
(336) 387-8202
Mailing address
1002 N CHURCH ST, STE 302, GREENSBORO, NC 27401-1439
(336) 387-8100
(336) 387-8202
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
200900584
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5912176
—
NC
Enumeration date
05/22/2006
Last updated
08/07/2012
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