Individual
ANTOINETTE KARA MATHESON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
175 GWINNETT DR, LAWRENCEVILLE, GA 30046-8444
(678) 209-2394
(678) 212-6343
Mailing address
708 CLARIDGE PARK DR, MORROW, GA 30260-3065
(678) 895-0848
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LPN089629
GA
Other
Enumeration date
01/07/2015
Last updated
01/07/2015
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