Provider Demographics
NPI:1992879571
Name:MATTHEWS, CURTIS J JR (MD)
Entity type:Individual
Prefix:
First Name:CURTIS
Middle Name:J
Last Name:MATTHEWS
Suffix:JR
Gender:M
Credentials:MD
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Mailing Address - Street 1:9735 KINCEY AVE
Mailing Address - Street 2:SUITE 201
Mailing Address - City:HUNTERSVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28078-9118
Mailing Address - Country:US
Mailing Address - Phone:704-414-2870
Mailing Address - Fax:704-414-2860
Practice Address - Street 1:1780 MEDICAL PARK DR
Practice Address - Street 2:
Practice Address - City:ROCK HILL
Practice Address - State:SC
Practice Address - Zip Code:29732-1194
Practice Address - Country:US
Practice Address - Phone:803-327-1116
Practice Address - Fax:803-327-6872
Is Sole Proprietor?:No
Enumeration Date:2006-11-17
Last Update Date:2021-05-27
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Provider Licenses
StateLicense IDTaxonomies
NC00-36567208800000X
TN020282208800000X
SC15415208800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208800000XAllopathic & Osteopathic PhysiciansUrology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC136HXOtherBCBS OF NC
SC1905790OtherUNITED HEALTHCARE
SC760700OtherGREAT WEST
SC42838OtherMEDCOST
SC154155Medicaid
SC279871OtherMAMSI
SC0004406901OtherAETNA
NC89136HXMedicaid
NC890695PMedicaid
SC1905790OtherUNITED HEALTHCARE
NC890695PMedicaid
SC154155Medicaid
SC0004406901OtherAETNA
SC760700OtherGREAT WEST