Individual
MRS. JENNIFER LEE MATHEWS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
510 BALSAM RD, HENDERSONVILLE, NC 28792-5703
(828) 693-4431
(828) 693-4434
Mailing address
PO BOX 2618, HENDERSONVILLE, NC 28793-2618
(828) 693-4431
(828) 693-4434
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
9300221
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8954831
—
NC
Enumeration date
12/19/2005
Last updated
07/07/2010
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