Mattingly, Michael C

Mattingly, Michael C is an sole proprietor health care provider with primary practice located at 401 Baptist Dr Ste 301 , Madison MS 39110-2012. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Pediatric Cardiology. Allopathic & Osteopathic Physicians / Pediatric Cardiology is his primary health care specialty. Mattingly, Michael C can be contacted via phone (601) 499-0935.

Contact Information

Primary practice address
401 Baptist Dr Ste 301 Madison MS 39110-2012
Phone: (601) 499-0935
Fax: (601) 499-0935
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 01064218A Indiana
Allopathic & Osteopathic Physicians / Pediatric Cardiology 2080P0202X 01064218A Indiana

Profile Details

NPI number 1659549681
LBN Legal business name Mattingly, Michael C
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 12th, 2008
Last updated May 23rd, 2019 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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