Individual
MR. MATTHEW D. OLIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3200 NORTHLINE AVE, STE 200, GREENSBORO, NC 27408-7616
(336) 545-5000
(336) 545-5020
Mailing address
PO BOX 38008, GREENSBORO, NC 27438-8008
(336) 545-5000
(336) 545-5020
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
200100174
NC
207X00000X
Orthopaedic Surgery Physician
Primary
200100174
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
89137TF
—
NC
Enumeration date
09/09/2005
Last updated
03/28/2012
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