Organization
DR GEORGE T MATHAI PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GEORGE THOTTAKARA MATHAI MD (OWNER)
(931) 535-3734
Entity
Organization
Contact information
Practice address
224 LONG ST, NEW JOHNSONVILLE, TN 37134-2468
(931) 535-3734
(931) 535-3742
Mailing address
224 LONG ST, NEW JOHNSONVILLE, TN 37134-2468
(931) 535-3734
(931) 535-3742
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3889576
—
TN
Enumeration date
08/13/2007
Last updated
05/28/2008
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