person
Angelina Kathleen Matherly, DO
General Practice Physician in Fort Rucker, Alabama
NPI 1467011668

Angelina Kathleen Matherly is a General Practice Physician based in Fort Gordon, AL. Angelina Kathleen Matherly practices in Fort Rucker, AL and has the professional credentials of DO. The NPI Number for Angelina Kathleen Matherly is 1467011668 and holds a License No. (Alabama).

The current practice location address for Angelina Kathleen Matherly is 301 Andrews Avenue, Fort Rucker, AL and can be reached out via phone at 008-261-7193.

Location: 301 Andrews Avenue, Fort Rucker, AL, 30905-5741
person
Provider Profile Details
NPI Number
1467011668
Provider Name
Angelina Kathleen Matherly
Credential
DO
Provider Entity Type
Individual
Gender
Female
Address
301 Andrews Avenue, Fort Rucker, AL, 30905-5741
Phone Number
008-261-7193
Fax Number
Provider Enumeration Date
06/11/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
301 Andrews Avenue
City
State
Zip
36362
Phone Number
008-261-7193
Fax Number
person
Provider Business Mailing Address Details
Address
301 Andrews Avenue
City
State
Zip
36362
Phone Number
008-261-7193
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Military Health Care Provider
Speciality
-
Taxonomy
License No.
2020-03801 (North Carolina)
Definition
Active duty military health care providers not otherwise classified who need to be separately identified for operational, clinical, or administrative processes.
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
General Practice
Speciality
-
Taxonomy
License No.
()
Definition
Definition to come...
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