Individual
MS. OLAMAE MATHIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6601 ZEBULON RD, MACON, GA 31220-7606
(478) 476-0805
Mailing address
303 CHAMBERS COVE DR, APT G, MACON, GA 31206-4769
(478) 250-3360
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
03/01/2017
Last updated
03/01/2017
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