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Vaughn Mitchell Matacale, MD
Specialist in Wilson, North Carolina
NPI 1063471084

Vaughn Mitchell Matacale is a Specialist based in Wilson, NC. Vaughn Mitchell Matacale practices in Wilson, NC and has the professional credentials of MD. The NPI Number for Vaughn Mitchell Matacale is 1063471084 and holds a License No. (North Carolina).

The current practice location address for Vaughn Mitchell Matacale is 1705 Tarboro St Sw, Wilson, NC and can be reached out via phone at 252-399-8040 and via fax at 252-399-8829.

Location: 1705 Tarboro St Sw, Wilson, NC, 27893-3428
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1063471084
Provider Name
Vaughn Mitchell Matacale
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
1705 Tarboro St Sw, Wilson, NC, 27893-3428
Phone Number
252-399-8040
Fax Number
252-399-8829
Provider Enumeration Date
03/20/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
89135JX 05 NC
institution
Provider Business Practice Location Address Details
Address
1705 Tarboro St Sw
City
Wilson
State
North Carolina
Zip
27893-3428
Phone Number
252-399-8040
Fax Number
252-399-8829
person
Provider Business Mailing Address Details
Address
1705 Tarboro St Sw
City
Wilson
State
North Carolina
Zip
27893-3428
Phone Number
252-399-8040
Fax Number
252-399-8829
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
(North Carolina)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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