Individual
DR. DAVID C MATHIS
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
EDD
Contact information
Practice address
204 W HOGAN ST, TULLAHOMA, TN 37388-3338
(931) 393-1043
(931) 393-1000
Mailing address
204 W HOGAN ST, TULLAHOMA, TN 37388-3338
(931) 393-1043
(931) 393-1000
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
P1711
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0166268
BCBS
TN
Enumeration date
07/29/2005
Last updated
07/08/2007
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