Individual
PETER JOSEPH MATTINGLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2817 REILLY ST, FORT BRAGG, NC 28310-7394
(910) 907-7697
Mailing address
2817 REILLY ST, FORT BRAGG, NC 28310-7394
(910) 907-7697
(910) 907-7956
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
2021-00035
NC
207R00000X
Internal Medicine Physician
Primary
295360
MA
208M00000X
Hospitalist Physician
295360
MA
Other
Enumeration date
07/20/2016
Last updated
03/14/2023
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