Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Nolan Mattingly

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1164125464

Nolan Mattingly is a Student in an Organized Health Care Education/Training Program in Athens, Georgia. Registered with an NPI since 2023.

In the registry since
2023

Practice location Address checks out

1230 Baxter St
Athens, GA 30606-3712
Phone: (706) 389-3860
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X

Record details

NPI number1164125464
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedMarch 24, 2023
Last updated in NPPESMarch 24, 2023
Certification dateMarch 24, 2023
Mailing address1230 Baxter St, Athens, GA 30606-3712

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