Individual
DONALD WAYNE MATHIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1101 CAMDEN AVE, SALISBURY, MD 21801-6837
(443) 669-4660
Mailing address
1835 MOUNT HERMON RD, SALISBURY, MD 21804-9414
(443) 669-4660
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
02/28/2019
Last updated
02/28/2019
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