Individual
MRS. REBEKA LEANN MATHIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
1719 RUSSELL PKWY, BLDG. 300, WARNER ROBINS, GA 31088-5763
(478) 923-0106
Mailing address
1719 RUSSELL PKWY, BLDG. 300, WARNER ROBINS, GA 31088-5763
(478) 923-0106
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
5604
GA
Other
Enumeration date
07/20/2009
Last updated
02/02/2011
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