Individual
GIA MATHENY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
740 HEMINGWAY CV, HERNANDO, MS 38632-8170
(662) 420-1765
Mailing address
740 HEMINGWAY CV, HERNANDO, MS 38632-8170
Taxonomy
Speciality
Code
Description
License number
State
225000000X
Orthotic Fitter
Primary
—
—
Other
Enumeration date
06/16/2025
Last updated
06/16/2025
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