Individual
KAYLA MATHIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
330 PEACHTREE ST, JESUP, GA 31545-0246
(912) 415-8552
Mailing address
330 PEACHTREE ST, JESUP, GA 31545-0246
(912) 415-8552
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
RN278574
GA
Other
Enumeration date
12/27/2024
Last updated
12/27/2024
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