Individual
ANGELINA KATHLEEN MATHERLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
2817 REILLY ST, FORT BRAGG, NC 28310-7324
(910) 907-6000
Mailing address
2817 REILLY ST, FORT BRAGG, NC 28310-7324
(910) 907-6000
Taxonomy
Speciality
Code
Description
License number
State
171000000X
Military Health Care Provider
—
—
208D00000X
General Practice Physician
Primary
2020-03801
NC
Other
Enumeration date
06/11/2019
Last updated
06/03/2025
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