Individual
PATRICIA ANN MATHIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8362 SIX FORKS RD STE 203, RALEIGH, NC 27615-5086
(919) 637-3196
(919) 900-7070
Mailing address
1405 KINGS CREST LN, RALEIGH, NC 27614-8056
(919) 637-3196
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
06/29/2020
Last updated
02/19/2025
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