Individual
MATTHEW GREENE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ATC, LAT
Contact information
Practice address
2504 WESTHAM PL, RALEIGH, NC 27604-4884
(919) 906-3669
Mailing address
2504 WESTHAM PL, RALEIGH, NC 27604-4884
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
1690
NC
Other
Enumeration date
03/06/2014
Last updated
03/06/2014
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