Basic Information
Provider Information
NPI: 1851550255
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: SINCOCK
FirstName: MATTHEW
MiddleName: CURREN
NamePrefix:  
NameSuffix:  
Credential: MD
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
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OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 1202 MEDICAL CENTER DR
Address2:  
City: WILMINGTON
State: NC
PostalCode: 284017307
CountryCode: US
TelephoneNumber: 9103413300
FaxNumber: 9103413321
Practice Location
Address1: 2421 SILVER STREAM LN
Address2:  
City: WILMINGTON
State: NC
PostalCode: 284017684
CountryCode: US
TelephoneNumber: 9103413300
FaxNumber: 9103413321
Other Information
ProviderEnumerationDate: 06/02/2008
LastUpdateDate: 08/13/2014
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: Y
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207RI0200X2010-00900NCY Allopathic & Osteopathic PhysiciansInternal MedicineInfectious Disease
207RI0200XMD037281DCN Allopathic & Osteopathic PhysiciansInternal MedicineInfectious Disease
207R00000X0101245201VAN Allopathic & Osteopathic PhysiciansInternal Medicine 

No ID Information.


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