| Matthew Conner Md Pllc | |
|
5842 Fayetteville Rd Ste 110 Durham NC 27713-6294 | |
| (919) 797-0953 | |
| (919) 797-0981 |
| Full Name | Matthew Conner Md Pllc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 5842 Fayetteville Rd Ste 110, Durham, North Carolina |
| Authorized Official Name and Position | Matthew Conner (OWNER) |
| Authorized Official Contact | 9197970953 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Matthew Conner Md Pllc 5842 Fayetteville Rd Ste 110 Durham NC 27713-6294 Ph: (919) 797-0953 | Matthew Conner Md Pllc 5842 Fayetteville Rd Ste 110 Durham NC 27713-6294 Ph: (919) 797-0953 |
| NPI Number | 1457872806 |
|---|---|
| Provider Enumeration Date | 07/06/2017 |
| Last Update Date | 07/21/2022 |
| Medicare PECOS PAC ID | 9638449192 |
|---|---|
| Medicare Enrollment ID | O20170717003063 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457872806 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | 2011-00120 (North Carolina) | Primary |
| Provider Name | Matthew J Conner |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1184899395 PECOS PAC ID: 0840460374 Enrollment ID: I20110818000939 |
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