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Contact Information

JAMESON K MATTINGLY, MD
9430 PARK WEST BLVD STE 330
KNOXVILLE, TN37923-4203
 Phone: 865-693-6065
 Fax: 865-531-6325
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Otology & Neurotology

207YX0901X 04 Physician/Otolaryngology
 

Plastic Surgery within the Head & Neck

207YX0007X 04 Physician/Otolaryngology
Indicates primary specialty

NPI Profile & details for JAMESON K MATTINGLY · (Male)

NPI # 1255697975
Status Active
Credentials MD
Entity Individual
Enumeration date 04/06/2012
Last updated 12/09/2023 - About 2 years ago
Sole proprietor 1 No
Identifiers
  • TN License # 62735
Hospital affiliation(s)
  • FORT SANDERS REGIONAL MEDICAL CENTER - (Acute Care)
    1901 W CLINCH AVE
    KNOXVILLE, TN 37916
  • PARKWEST MEDICAL CENTER - (Acute Care)
    9352 PARK WEST BLVD
    KNOXVILLE, TN 37923
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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