Individual
CHRISTOPHER WAYNE MATTERN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1331 N ELM ST STE 200, GREENSBORO, NC 27401-6304
(336) 274-6682
(336) 274-8097
Mailing address
PO BOX 85378, CHICAGO, IL 60689-5378
(336) 274-6682
(336) 274-8097
Taxonomy
Speciality
Code
Description
License number
State
2085N0700X
Neuroradiology Physician
Primary
200200735
NC
2085R0202X
Diagnostic Radiology Physician
200200735
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1313U
BCBS
NC
01
—
16-02367
UNITED HEALTHCARE
NC
05
—
1780669242
—
VA
05
—
891313U
—
NC
01
—
E2505
MEDCOST
NC
01
—
P00304569
MEDICARE RAILROAD
NC
Enumeration date
12/07/2005
Last updated
10/01/2025
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