Individual
ANNSLEY MATHEWS COFFEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
312 WESTSIDE DR, DOUGLAS, GA 31533-3530
(912) 384-2200
(912) 383-7992
Mailing address
312 WESTSIDE DR, DOUGLAS, GA 31533-3530
(912) 384-2200
(912) 383-7992
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
7564
GA
Other
Enumeration date
05/11/2015
Last updated
08/09/2019
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