JILL RAE MATTINGLY

TUCKER, GA
NPI1770795361
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363A00000X Physician Assistant
(Licence: GA  3283)
Enumeration Date2007-05-04
Last Update Date2007-07-08
Business Address
-- JILL RAE MATTINGLY PA-C, MMSc
4500 HUGH HOWELL RD SUITE 340
TUCKER, GA 30084-4723
Phone number: 678-534-1715
Mailing Address
-- JILL RAE MATTINGLY PA-C, MMSc
586 MOUNTAIN PARK TRL
STONE MOUNTAIN, GA 30087-5709
Phone number: 770-469-6903
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