Doctor Name: | DR. HORACE GREELEY MATTHEWS |
NPI Number: | 1639456007 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.D. |
License Number: | 2012-01871 |
Business Practice Address: | 2d Battalion, 9th Marines Marine Corps Base Camp Lejeune Camp Lejeune, NC - 28542 |
Business Phone Number: | 9104509431 |
Business Fax Number: | |
Mailing Address: | 2d Battalion, 9th Marines, Psc Box 20165 CAMP LEJEUNE |
State: | NC |
Postal Code: | 285420165 |
Phone Number: | 9104509431 |
Fax Number: | |
NPI Enumeration Date: | 11/13/2011 |
NPI Last Update Date: | 10/15/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | 2012-01871 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NC |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |