Individual
DR. PATRICIA JANE MATTINGLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
6324 FAIRVIEW RD STE 390, CHARLOTTE, NC 28210-4173
(704) 316-1120
(704) 316-1121
Mailing address
PO BOX 60447, CHARLOTTE, NC 28260-0447
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
2018-01327
NC
207V00000X
Obstetrics & Gynecology Physician
ME124636
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
015209700
—
FL
Enumeration date
05/16/2011
Last updated
09/20/2018
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