Provider Demographics
NPI:1396002218
Name:MATTHEWS, AUSTIN PAUL (DPM)
Entity Type:Individual
Prefix:
First Name:AUSTIN
Middle Name:PAUL
Last Name:MATTHEWS
Suffix:
Gender:M
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:815 WESLEY PINES RD
Mailing Address - Street 2:
Mailing Address - City:LUMBERTON
Mailing Address - State:NC
Mailing Address - Zip Code:28358-2359
Mailing Address - Country:US
Mailing Address - Phone:910-737-6600
Mailing Address - Fax:910-737-6532
Practice Address - Street 1:815 WESLEY PINES RD
Practice Address - Street 2:
Practice Address - City:LUMBERTON
Practice Address - State:NC
Practice Address - Zip Code:28358-2359
Practice Address - Country:US
Practice Address - Phone:910-737-6600
Practice Address - Fax:910-737-6532
Is Sole Proprietor?:No
Enumeration Date:2012-04-17
Last Update Date:2015-06-29
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NC646213ES0103X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle Surgery