Clark, Matthew Ryan

Clark, Matthew Ryan is an sole proprietor health care provider with primary practice located at 15830 Ballantyne Medical Pl Ste 225 , Charlotte NC 28277-0760. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Dermatology, Allopathic & Osteopathic Physicians / MOHS-Micrographic Surgery. Allopathic & Osteopathic Physicians / MOHS-Micrographic Surgery is his primary health care specialty. Clark, Matthew Ryan can be contacted via phone (704) 919-1105.

Contact Information

Primary practice address
15830 Ballantyne Medical Pl Ste 225 Charlotte NC 28277-0760
Phone: (704) 919-1105
Fax: (704) 910-3163
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Dermatology 207N00000X 2023-00924 North Carolina
Allopathic & Osteopathic Physicians / Dermatology 207N00000X MMD89666MD South Carolina
Allopathic & Osteopathic Physicians / MOHS-Micrographic Surgery 207ND0101X 2023-00924 North Carolina
Allopathic & Osteopathic Physicians / MOHS-Micrographic Surgery 207ND0101X MMD89666MD South Carolina
Allopathic & Osteopathic Physicians / MOHS-Micrographic Surgery 207ND0101X MD195653 Oregon

Profile Details

NPI number 1194162230
LBN Legal business name Clark, Matthew Ryan
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 30th, 2013
Last updated Aug 29th, 2023 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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