Individual provider · Type 1 NPI

Matthew Green, PA-C

Medical Physician Assistant · Clemmons, NC

NPI number 1588069066 Active

Practice location

2311 Lewisville Clemmons Rd
Clemmons, NC 27012-8905

Call (336) 713-0400 Map

Mailing address

1188 Yadkinville Rd
Mocksville, NC 27028-2037

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700X0010-05441 (NC)

Medical Physician Assistant: Definition to come...

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About NPI 1588069066

Matthew Green, PA-C's National Provider Identifier is 1588069066, issued on Oct 27, 2014. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Clemmons, NC. The record was last updated on Feb 28, 2019.