Male or Other

Peter J. Mattingly M.D.

Internal Medicine Physician in Fort Bragg, NC(View on Map)

Full Name

Peter Joseph Mattingly M.D.

NPI Number

1306299813

NPI Type

Individual Provider

Gender

Male

Enumeration Date

07/20/2016

Specialties

(Taxonomies)

Code

207R00000X
208M00000X

Primary Taxonomy

Yes
No

Licenses

State

Massachusetts
North Carolina

License Number

295360
2021-00035

Contact
Information

Purpose

Mailing
Location

Address

2817 REILLY ST
2817 REILLY ST

City

Fort Bragg
Fort Bragg

State

NC
NC

Postal Code

28310-7394
28310-7394

Country

US
US

Telephone Number

(910) 907-7697
(910) 907-7697

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 03/14/2023

Provider Address

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