Individual
HEATHER MARIE MATHIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
80 CANDLER RD, MCDONOUGH, GA 30253-5455
(678) 432-8811
Mailing address
80 CANDLER RD, MCDONOUGH, GA 30253-5455
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
RN149754NP
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003113176A
—
GA
Enumeration date
11/12/2010
Last updated
10/12/2025
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