Individual
MICHAEL C MATTINGLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
803 LIBERTY RD, FLOWOOD, MS 39232-9000
(601) 714-1967
(601) 714-1966
Mailing address
803 LIBERTY RD, FLOWOOD, MS 39232-9000
(601) 714-1967
(601) 714-1966
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
26254
MS
2080P0202X
Pediatric Cardiology Physician
Primary
26254
MS
Other
Enumeration date
02/12/2008
Last updated
01/20/2025
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