Individual
JESSICA MATTOX
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
234 CROOKED CREEK PKWY STE 200, DURHAM, NC 27713-8506
(919) 544-6644
Mailing address
234 CROOKED CREEK PKWY STE 200, DURHAM, NC 27713-8506
(919) 544-6644
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
2020-03216
NC
208000000X
Pediatrics Physician
2020-03216
NC
Other
Enumeration date
03/31/2016
Last updated
11/04/2020
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