Individual
ROBERT MATHIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MSW
Contact information
Practice address
300 W HOSPITAL RD, FORT GORDON, GA 30905-5741
(770) 496-4338
(678) 495-6363
Mailing address
300 W HOSPITAL RD, FORT GORDON, GA 30905-5741
(770) 496-4338
(678) 495-6363
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
002157CSW
GA
Other
Enumeration date
02/28/2007
Last updated
10/09/2013
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