Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JILL RAE MATTINGLY, PA-C, MMSC
Active Sole ProprietorJILL RAE MATTINGLY, PA-C, MMSC is a Physician Assistant healthcare provider located in TUCKER, Georgia. NPI 1770795361 is currently active in the NPPES registry. Verify at CMS.
Physician Assistant · TUCKER, GA
Registration Details
- NPI Number
- 1770795361
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- May 4, 2007 (19.242217327543 yrs)
- Last Updated
- Jul 8, 2007
- License
-
3283 (GA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
4500 HUGH HOWELL RDSUITE 340TUCKER, GA, 300844723Browse GA providers · Browse ZIP 30084
- Phone
- 6785341715
- Primary Specialty
-
Physician Assistant
363A00000X
Other Physician Assistant Providers in TUCKER, GA
| Name | Credential | NPI |
|---|---|---|
| ARNRAE UDINSKY MOULTRIE | PA | 1497731079 |
| MICHAEL L WERNER | PA | 1114964996 |
| MR. ROBERT ANDREW KILLOUGH | P.A.-C | 1346396462 |
| MS. ASHLEY NICOLE BOACHIE-ADJEI | PA | 1164671707 |
| BRIDGETTE MICHELIN | PA-C | 1609127174 |
| NATHAN LEE POTTER | PA | 1073904181 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.