Mathes, Gordon L

Mathes, Gordon L is an individual health care provider with primary practice located at 180 Foy Dr , Rocky Mount NC 27804-2417. He recently has only one registered license in Allopathic & Osteopathic Physicians / Urology, which is considered as his primary health care specialty. Mathes, Gordon L can be contacted via phone (252) 443-3136.

Contact Information

Primary practice address
180 Foy Dr Rocky Mount NC 27804-2417
Fax: (252) 443-3847
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Urology 208800000X 27063 North Carolina

Profile Details

NPI number 1871556977
LBN Legal business name Mathes, Gordon L
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 10th, 2006
Last updated May 11th, 2021 - about 3 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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Identifiers

StateTypeNumberIssuer
All States NPI 1871556977 NPPES
North Carolina MEDICAID 8954719
North Carolina Other 208557A

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