Individual
SARAH N MATHIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
55 WHITCHER ST NE, SUITE 350, MARIETTA, GA 30060-1155
(770) 424-6893
(770) 528-9938
Mailing address
55 WHITCHER ST NE, SUITE 350, MARIETTA, GA 30060-1155
(770) 424-6893
(770) 528-9938
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
RN170479
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
119107548A
—
GA
05
—
119107548B
—
GA
05
—
119107548C
—
GA
Enumeration date
11/20/2009
Last updated
06/20/2012
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