DR. MATTHEW JAMES WILSON MD NPI 1629492798

NPI Information

NPI: 1629492798
Provider Name: DR. MATTHEW JAMES WILSON, MD
Classification: General Practice - 208D00000X
Entity Type: Individual
Address:
NAVAL MEDICAL CENTER CAMP LEJEUNE
100 BREWSTER BLVD
CAMP LEJEUNE, NC
ZIP 28547
Phone: (910) 450-4142
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DR. Matthew James Wilson, MD is a general practice in Camp Lejeune, NC. The provider is a physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee DR. Matthew James Wilson, MD NPI is 1629492798. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

NAVAL MEDICAL CENTER CAMP LEJEUNE
100 BREWSTER BLVD
CAMP LEJEUNE, NC
ZIP 28547-538
Phone: (910) 450-4142

The enumeration date for this NPI number is 2/10/2014 and was last updated on 1/11/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	208D00000X	General Practice		202101489	NORTH CAROLINA	Yes
2	390200000X	Student in an Organized Health Care Education/Training Program				No

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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