Individual
MR. SEAN PATRICK MATHER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
3001 SPRING FOREST RD, RALEIGH, NC 27616-2815
(336) 209-2023
Mailing address
5419 AUTUMN HARVEST DR, KERNERSVILLE, NC 27284-9892
(336) 254-8106
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
9303
NC
Other
Enumeration date
08/29/2011
Last updated
08/29/2011
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