Wagoner, Matthew Roy
Wagoner, Matthew Roy is an individual health care provider with primary practice located at 2001 N Church St Ste 101 , Greensboro NC 27405-5633. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery, which is considered as his primary health care specialty. Wagoner, Matthew Roy can be contacted via phone (336) 375-6990.Contact Information
Primary practice address
2001 N Church St Ste 101
Greensboro NC 27405-5633
Phone: (336) 375-6990
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery | 213ES0103X | SC006317 | Pennsylvania |
| Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery | 213ES0103X | 612 | North Carolina |
Profile Details
| NPI number | 1770870974 |
|---|---|
| LBN Legal business name | Wagoner, Matthew Roy |
| Credentials | Doctor of Podiatric Medicine (DPM) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 8th, 2011 |
| Last updated | Mar 11th, 2024 - about 9 months 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.
Popular Providers
-
Egerton, Kathryn Pope
2001 N Church St , Greensboro NC 27405-5633 -
Mazur, Mark J.
420 N James Rd , Columbus OH 43219-1834 -
Patel, Kevin
2001 N Church St , Greensboro NC 27405-5633 -
Petery, John Andrew
5921 W Friendly Ave Ste D , Greensboro NC 27410-3268 -
Evans, Brent Monroe
2001 N Church St Ste 101 , Greensboro NC 27405-5633 -
Black, Gregory A
4913 Harroun Rd , Sylvania OH 43560-2197 -
Gooden, Tamika
2706 Saint Jude St , Greensboro NC 27405-3670 -
Tennity, John J.
1150 N 83Rd St , Lincoln NE 68505-2094