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Individual

MAHLIQUE MATHIS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DNP, APRN, AGACNP-BC

Contact information

Practice address
1000 JOHNSON FERRY RD, ATLANTA, GA 30342-1606
(404) 851-8900
Mailing address
1000 JOHNSON FERRY RD, ATLANTA, GA 30342-1606
(678) 367-9946

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
245549
GA

Other

Enumeration date
06/25/2021
Last updated
11/13/2021
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