Individual
DR. GORDON L MATHES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
180 FOY DR, ROCKY MOUNT, NC 27804-2417
(252) 443-3136
(252) 443-3847
Mailing address
2000 PERIMETER PARK DR STE 200, MORRISVILLE, NC 27560-8442
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
27063
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
208557A
MEDICARE UNSPECIFIED
NC
05
—
8954719
—
NC
Enumeration date
04/10/2006
Last updated
05/11/2021
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