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1588069066
MATTHEW GREEN
CLEMMONS, NC
NPI
1588069066
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363AM0700X Physician Assistant, Medical
(Licence: NC 0010-05441)
Enumeration Date
2014-10-27
Last Update Date
2019-02-28
Business Address
MATTHEW GREEN PA-C
2311 LEWISVILLE CLEMMONS RD
CLEMMONS, NC 27012-8905
Phone number: 336-713-0400
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Mailing Address
MATTHEW GREEN PA-C
1188 YADKINVILLE RD
MOCKSVILLE, NC 27028-2037
Phone number: 336-713-0555
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