Individual
LISA KEY MATHIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
208 OLD MOCKSVILLE RD, STATESVILLE, NC 28625-1930
(704) 838-8240
(704) 838-8209
Mailing address
PO BOX 1845, STATESVILLE, NC 28687-1845
(704) 873-4277
(704) 873-4511
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
0050-00466
NC
Other
Enumeration date
06/26/2006
Last updated
07/08/2007
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