Individual
DR. MALISSA T MATHIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
1506 N LIMESTONE ST, GAFFNEY, SC 29340-4747
(864) 489-2016
(864) 488-1123
Mailing address
180 N DEAN ST, SPARTANBURG, SC 29302-1517
(864) 583-3125
(864) 542-1367
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1092
SC
Other
Enumeration date
06/16/2005
Last updated
02/01/2013
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