MEDICARE: DR. MATTHEW GEORGE CASE D.O.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	208D00000X	General Practice Physician	0102204274	VA
2	2083X0100X	Occupational Medicine Physician	0102204274	VA
3	390200000X	Student in an Organized Health Care Education/Training Program

General Provider Information

NPI Number	:	1598187528
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MATTHEW GEORGE CASE D.O.

Provider Business Mailing Address
First Line	:	4825 CREEKSTONE DR STE 105
Second Line	:
City	:	DURHAM
State	:	NC
Zip	:	27703-8242
Country	:	US
Telephone Number	:	919-681-4339
Fax Number	:

Provider Business Practice Location Address
First Line	:	4825 CREEKSTONE DR STE 105
Second Line	:
City	:	DURHAM
State	:	NC
Zip	:	27703-8242
Country	:	US
Telephone Number	:	919-681-4339
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/10/2014
Last Update Date	:	12/29/2025

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