Individual
ANITA C MATHERLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
777 HEMLOCK ST, MSC 103, MACON, GA 31201-2102
(478) 633-1199
Mailing address
777 HEMLOCK ST, MSC 103, MACON, GA 31201-2102
(478) 633-1199
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
RN117565
GA
Other
Enumeration date
04/26/2010
Last updated
12/11/2018
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