MARK R. MATTICE

WINSTON SALEM, NC
NPI1700866431
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363L00000X Nurse Practitioner
(Licence: NC  200883)
Enumeration Date2006-01-19
Last Update Date2012-08-16
Business Address
-- MARK R. MATTICE NP
MEDICAL CENTER BLVD
WINSTON SALEM, NC 27157-0001
Phone number: 336-716-2255
Mailing Address
-- MARK R. MATTICE NP
PO BOX 344
WINSTON SALEM, NC 27102-0344
Phone number: 336-716-2255
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