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Individual

JOHANNA MATHEWS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
4700 WATERS AVE, SAVANNAH, GA 31404-6220
(561) 997-0821
Mailing address
110 OKATEE DR, SAVANNAH, GA 31410-3812
(912) 659-4656

Taxonomy

Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
RN160147
GA

Other

Enumeration date
07/24/2023
Last updated
07/24/2023
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