Individual
CATHERINE FAYE MATTINGLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NURSE PRACTITIONER
Contact information
Practice address
2001 E GREENVILLE ST, ANDERSON, SC 29621-1529
(864) 332-3098
(855) 232-3959
Mailing address
3 BUTTERNUT DR, SUITE B, GREENVILLE, SC 29605-4655
(864) 298-2826
(864) 672-7764
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
2428
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
NP0103
—
SC
Enumeration date
03/08/2006
Last updated
03/28/2018
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