| Organization Name: | MATTHEWS PHYSICAL HEALTHCARE PC |
| NPI Number: | 1841673217 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | RACHEL M KNOX (OWNER) |
| Mailing Address: | 1730 Matthews Township Pkwy Ste C Matthews |
| State: | NC US |
| Postal Code: | 281054928 |
| Phone Number: | 7048446368 |
| Fax Number: | 7048446369 |
| NPI Enumeration Date: | 07/03/2015 |
| NPI Last Update Date: | 07/03/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | 201402349 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NC |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |