Individual
ERIN NICHOLE MATTOCKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
4645 NW 8TH AVE, GAINESVILLE, FL 32605-4687
(352) 375-1212
(352) 371-4650
Mailing address
4645 NW 8TH AVE, GAINESVILLE, FL 32605-4687
(352) 375-1212
(352) 371-4650
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
OS019433
PA
207RC0000X
Cardiovascular Disease Physician
Primary
OS019433
PA
207UN0901X
Nuclear Cardiology Physician
OS019433
PA
Other
Enumeration date
05/29/2012
Last updated
02/07/2024
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