Individual
DR. TIMOTHY MATTISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
100 BREWSTER BLVD BLDG H100, CAMP LEJEUNE, NC 28547-2575
(910) 450-4800
Mailing address
2006 HOODS CREEK DR, NEW BERN, NC 28562-9130
Taxonomy
Speciality
Code
Description
License number
State
2083A0100X
Aerospace Medicine Physician
0102201360
VA
2085R0202X
Diagnostic Radiology Physician
Primary
2019-01943
NC
Other
Enumeration date
01/23/2006
Last updated
03/27/2020
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