Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207X00000X | Orthopaedic Surgeon | 2016-00641 | NC |
Y | 207XX0004X | Foot and Ankle Orthopaedic Surgeon | 2016-00641 | NC |
NPI | 1568548469 |
---|---|
Provider Name | Mr. Matthew B Massey |
First Address | Asheville, NC 28803-2493 |
Second Address | Asheville, NC 28803-2493 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 31/10/2006 |
Last Update Date | 17/05/2016 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
4309459 | BCBS TN (01) | TN |
9751669 | AETNA (01) | TN |