Individual
MR. JOHN MATHIS
Active
Individual
MR. JOHN MATHIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN
Taxonomy
Speciality
Code
Description
License number
State
163WP0200X
Pediatric Registered Nurse
263018
NC
163WX0200X
Oncology Registered Nurse
263018
NC
207ZC0008X
Clinical Informatics (Pathology) Physician
Primary
263018
NC
Other
Enumeration date
12/20/2023
Last updated
12/20/2023
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