Individual
DR. JAMES VICTOR MATHIS JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARM.D.
Contact information
Practice address
12 N BROOKS ST, MANNING, SC 29102-3206
(803) 435-2511
(803) 435-4235
Mailing address
12 N BROOKS ST, MANNING, SC 29102-3206
(803) 435-2511
(803) 435-4235
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
11113
SC
Other
Enumeration date
05/17/2014
Last updated
05/17/2014
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