Individual
JONATHAN MATHIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
100 JACKSON PIKE, GALLIPOLIS, OH 45631
(855) 446-5937
(740) 446-5711
Mailing address
90 JACKSON PIKE, GALLIPOLIS, OH 45631-1562
(740) 441-1934
(740) 446-5982
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
35.133539
OH
208000000X
Pediatrics Physician
LL38060
SC
Other
Enumeration date
05/08/2015
Last updated
10/26/2020
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