Matthews Internal Medicine Pllc | |
434 N. Trade St Suite 104 Matthews NC 28105 | |
(704) 246-3936 | |
(704) 771-1931 |
Full Name | Matthews Internal Medicine Pllc |
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Speciality | Internal Medicine |
Location | 434 N. Trade St, Matthews, North Carolina |
Authorized Official Name and Position | Eugene B Sangmuah (OWNER) |
Authorized Official Contact | 7042463936 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Matthews Internal Medicine Pllc 434 North Trade St. Suite 104 Matthews NC 28105 Ph: (704) 246-3936 | Matthews Internal Medicine Pllc 434 N. Trade St Suite 104 Matthews NC 28105 Ph: (704) 246-3936 |
NPI Number | 1528376712 |
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Provider Enumeration Date | 09/22/2010 |
Last Update Date | 07/21/2022 |
Medicare PECOS PAC ID | 8729273180 |
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Medicare Enrollment ID | O20101110001218 |
Identifier | Type | State | Issuer |
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1528376712 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | (* (Not Available)) | Primary |
Provider Name | Eugene Sangmuah |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1295703338 PECOS PAC ID: 4688568280 Enrollment ID: I20040213000091 |
Provider Name | Eliza Norkoah Sangmuah |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1215931894 PECOS PAC ID: 5698796464 Enrollment ID: I20051208000783 |
Provider Name | Redella Baxley Hedrick |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1467705467 PECOS PAC ID: 7416109285 Enrollment ID: I20121203000027 |
Provider Name | Alicja E Sundblade |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1184059958 PECOS PAC ID: 3678709649 Enrollment ID: I20131121000862 |
Provider Name | Kristi Dougan |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1275993149 PECOS PAC ID: 5193023794 Enrollment ID: I20180423000537 |
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