Organization
ANTHONY L MATHIS DPM LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ANTHONY L MATHIS DPM LLC (PHYSICIAN)
(864) 879-4080
Entity
Organization
Contact information
Practice address
127 MILLS AVE., GREER, SC 29651
(864) 879-4080
(864) 879-4938
Mailing address
127 MILLS AVENUE, GREER, SC 29651
(864) 879-4080
(864) 879-4938
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
502
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PD5024
—
SC
Enumeration date
08/14/2007
Last updated
11/26/2012
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