Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207VF0040X | Female Pelvic Medicine and Reconstructive Surgeon | 2010-00618 | NC |
NPI | 1467563593 |
---|---|
Provider Name | Dr. Catherine Ann Matthews |
First Address | Charlotte, NC 28260-2658 |
Second Address | Winston Salem, NC 27103-1522 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 31/08/2006 |
Last Update Date | 18/09/2017 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
006205119 541581185 | (05) | VA |
H45989 | (02) | VA |