Individual
SCOTT MATHIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
APRN,BC
Contact information
Practice address
1218 ALICE ST, WAYCROSS, GA 31501-4525
(912) 284-9800
(912) 284-1711
Mailing address
120 E CARTER AVE, BLACKSHEAR, GA 31516-1561
(912) 449-1501
(912) 449-1517
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
RN00138004
GA
Other
Enumeration date
08/31/2007
Last updated
08/31/2007
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