James Dwight Mattox JR. M.D.

NPI 1003965070 - Psychiatry & Neurology - 2084P0800X

NPI Details
NPI 1003965070
Gender Male
Enumeration Date 01/09/2007
Last Updated 07/09/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
2990 BETHESDA PL
SUITE 602 A
WINSTON SALEM NC, 27103-3318, US
Phone (336) 768-8281
Fax (336) 768-5685
Business Location
2990 BETHESDA PL
SUITE 602 A
WINSTON SALEM NC, 27103-3318, US
Phone (336) 768-8281
Fax (336) 768-5685
Toxanomy
Taxonomy Code 2084P0800X
License State North Carolina
License Number 16421
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According to our database, Dr. James Dwight Mattox JR. M.D. NPI is 1003965070, taxonomy code is 2084P0800X and license number is 16421, license state is located at North Carolina. James Dwight Mattox JR. M.D. physically located at 2990 Bethesda Pl, Winston Salem NC, 27103-3318. NPI Number James Dwight Mattox JR. M.D. has the Individual type.

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1003965070 NPI number is provided on an as is basis without warranty of any kind. 1003965070 is maintained by the National Plan & Provider Enumeration System. The contents of James Dwight Mattox JR. M.D. are for informational purposes only.