Individual
KATHERINE MICHELLE MATTINGLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
8201 HEALTHCARE LOOP STE 305, CHARLOTTE, NC 28215-7072
(980) 302-3050
(980) 302-3055
Mailing address
PO BOX 60447, CHARLOTTE, NC 28260-0447
Taxonomy
Speciality
Code
Description
License number
State
208M00000X
Hospitalist Physician
Primary
0010-08768
NC
363A00000X
Physician Assistant
0010-08768
NC
Other
Enumeration date
02/14/2019
Last updated
03/25/2025
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