Individual
MRS. MARTHA MATHISON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.ED.
Contact information
Practice address
1955 LAKE PARK DR SE STE 300, SMYRNA, GA 30080-8855
(770) 514-2462
(770) 514-2803
Mailing address
234 PARKVIEW DR, CARTERSVILLE, GA 30120-4052
(770) 382-1879
(770) 382-2601
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
09/07/2011
Last updated
09/07/2011
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