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NPI Code Detail

MEDICARE: DR. MICHELLE ALLYSON MATTHEWS MD

MEDICARE: DR. MICHELLE ALLYSON 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
1207R00000XInternal Medicine Physician200401537NC

General Provider Information

NPI Number : 1215970777
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. MICHELLE ALLYSON MATTHEWS MD
Provider Business Mailing Address
First Line : 509 N ELAM AVE
Second Line : SUITE 3E
City : GREENSBORO
State : NC
Zip : 27403-1129
Country : US
Telephone Number : 336-832-1970
Fax Number : 336-832-1988
Provider Business Practice Location Address
First Line : 2645 MERIDIAN PKWY STE 323
Second Line :
City : DURHAM
State : NC
Zip : 27713-4232
Country : US
Telephone Number : 984-227-8902
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/13/2006
Last Update Date : 10/28/2019

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