Individual
MATTHEW THOMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
4850 FAYETTEVILLE RD, LUMBERTON, NC 28358-2100
(910) 738-4811
(910) 738-7212
Mailing address
1738 METROMEDICAL DR, FAYETTEVILLE, NC 28304-3861
(910) 484-4191
(910) 484-5546
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
158
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
08195
BCBS
NC
05
—
8908195
—
NC
Enumeration date
05/15/2006
Last updated
01/26/2011
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