Doctor Name: | MATTHEW J SYKES |
NPI Number: | 1023003266 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | ANP |
License Number: | 24162394 |
Business Practice Address: | 300 East Valley Street Abingdon, VA - 242100807 |
Business Phone Number: | 2766287600 |
Business Fax Number: | 2766282629 |
Mailing Address: | 300 East Valley Street, ABINGDON |
State: | VA |
Postal Code: | 242120807 |
Phone Number: | 2766285141 |
Fax Number: | 2766286889 |
NPI Enumeration Date: | 09/14/2005 |
NPI Last Update Date: | 07/11/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LA2200X |
License Number: | 24162394 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | VA |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Adult Health |
Taxonomy Definition: |