Healthcare Provider Details

I. General information

NPI: 1679840698
Provider Name (Legal Business Name): ELIZABETH SWAILS MATTESON MA, ACSM CERTIFIED C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/18/2011
Last Update Date: 11/18/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

100 SPRUNT STREET, UNC WELLNESS CENTER UNC HOSPITALS CARDIAC REHABILITATION
CHAPEL HILL NC
27517-7811
US

IV. Provider business mailing address

100 SPRUNT STREET, UNC WELLNESS CENTER UNC HOSPITALS CARDIAC REHABILITATION
CHAPEL HILL NC
27517-7811
US

V. Phone/Fax

Practice location:
  • Phone: 919-643-2154
  • Fax: 919-843-2191
Mailing address:
  • Phone: 919-643-2154
  • Fax: 919-843-2191

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code224Y00000X
TaxonomyClinical Exercise Physiologist
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: