Individual
CHRISTOPHER CHARLES MATHIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LAT, ATC
Contact information
Practice address
231 W HANCOCK ST, MILLEDGEVILLE, GA 31061-3375
(800) 342-0471
Mailing address
1565 GA HIGHWAY 171 N, LOUISVILLE, GA 30434-3922
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT002287
GA
Other
Enumeration date
06/26/2013
Last updated
06/26/2013
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