Individual
BRIAN LEWIS MATTHEWS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
MEDICAL CENTER BLVD, WINSTON SALEM, NC 27157-0001
(336) 716-2255
(336) 716-9440
Mailing address
PO BOX 344, WINSTON SALEM, NC 27102-0344
(336) 716-2255
(336) 716-9440
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
26123
NC
207YP0228X
Pediatric Otolaryngology Physician
26123
NC
207YX0602X
Otolaryngic Allergy Physician
26123
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8954821
—
NC
Enumeration date
11/30/2005
Last updated
11/02/2010
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