Peter Joseph Mattingly, M.D. is a student in an organized health care education training program in Fort Gordon, GA. The provider is an individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. Peter Joseph Mattingly, M.D. NPI is 1306299813. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a male.
The provider's business location address is:
300 EAST HOSPITAL ROAD
DWIGHT DAVID EISENHOWER ARMY MEDICAL CENTER
FORT GORDON, GA
ZIP 30905-650
Phone: (706) 787-4657
The NPI 1306299813 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.
The enumeration date for this NPI number is 7/20/2016 and was last updated on 1/20/2018.