Individual
MARSHA MATTINGLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2408 MEMORIAL BLVD, KINGSPORT, TN 37664-3343
(304) 531-4365
(513) 332-9072
Mailing address
600 6TH AVE, HUNTINGTON, WV 25701-2104
(304) 521-4365
(513) 332-9072
Taxonomy
Speciality
Code
Description
License number
State
237700000X
Hearing Instrument Specialist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1932599974
NPI
TN
Enumeration date
02/18/2019
Last updated
02/18/2019
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