Individual
MATTHEW PHILLIPS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CP
Contact information
Practice address
123 PROFESSIONAL PARK DR STE 100, MOORESVILLE, NC 28117-5516
(704) 999-8257
(704) 799-9826
Mailing address
123 PROFESSIONAL PARK DR STE 100, MOORESVILLE, NC 28117-5516
(704) 799-9825
(704) 799-9826
Taxonomy
Speciality
Code
Description
License number
State
224P00000X
Prosthetist
Primary
45PR00004000
NJ
224P00000X
Prosthetist
—
—
Other
Enumeration date
08/30/2021
Last updated
08/30/2021
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