Provider Demographics
NPI:1528376712
Name:MATTHEWS INTERNAL MEDICINE PLLC
Entity Type:Organization
Organization Name:MATTHEWS INTERNAL MEDICINE PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:EUGENE
Authorized Official - Middle Name:B
Authorized Official - Last Name:SANGMUAH
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:704-246-3936
Mailing Address - Street 1:434 NORTH TRADE ST.
Mailing Address - Street 2:SUITE 104
Mailing Address - City:MATTHEWS
Mailing Address - State:NC
Mailing Address - Zip Code:28105
Mailing Address - Country:US
Mailing Address - Phone:704-246-3936
Mailing Address - Fax:704-771-1931
Practice Address - Street 1:434 N. TRADE ST
Practice Address - Street 2:SUITE 104
Practice Address - City:MATTHEWS
Practice Address - State:NC
Practice Address - Zip Code:28105
Practice Address - Country:US
Practice Address - Phone:704-246-3936
Practice Address - Fax:704-771-1931
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-09-22
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty