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NPI Code Detail

MEDICARE: DR. ROBERT CHARLES MATTHEWS MD

MEDICARE: DR. ROBERT CHARLES MATTHEWS MD
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
1207Q00000XFamily Medicine Physician201902816NC

General Provider Information

NPI Number : 1154368322
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. ROBERT CHARLES MATTHEWS MD
Provider Business Mailing Address
First Line : 400 W PLUMMER ST
Second Line :
City : EASTLAND
State : TX
Zip : 76448-2627
Country : US
Telephone Number : 254-629-1744
Fax Number : 254-629-3904
Provider Business Practice Location Address
First Line : 3333 NC HIGHWAY 242 N
Second Line :
City : BENSON
State : NC
Zip : 27504-7844
Country : US
Telephone Number : 254-629-1744
Fax Number : 254-629-3904
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/31/2006
Last Update Date : 12/17/2019

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