Healthcare Provider Details

I. General information

NPI: 1831037290
Provider Name (Legal Business Name): MATTHEW DELEARY
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/24/2026
Last Update Date: 03/24/2026
Certification Date: 03/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2201 S STERLING ST
MORGANTON NC
28655-4044
US

IV. Provider business mailing address

211 ELM ST NW APT 202
WASHINGTON DC
20001-5676
US

V. Phone/Fax

Practice location:
  • Phone: 828-580-5000
  • Fax:
Mailing address:
  • Phone: 828-404-2471
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: