Mattingly, Jill Rae
Mattingly, Jill Rae is an sole proprietor health care provider with primary practice located at 4500 Hugh Howell Rd Suite 340, Tucker GA 30084-4723. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Mattingly, Jill Rae can be contacted via phone (678) 534-1715.Contact Information
Primary practice address
4500 Hugh Howell Rd Suite 340
Tucker GA 30084-4723
Phone: (678) 534-1715
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | 3283 | Georgia |
Profile Details
| NPI number | 1770795361 |
|---|---|
| LBN Legal business name | Mattingly, Jill Rae |
| Credentials | PA-C, MMSC |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 4th, 2007 |
| Last updated | Jul 8th, 2007 - about 18 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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