Individual
SARAH R MATTOX
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
7460 WOLF RIVER BLVD, GERMANTOWN, TN 38138-1760
(901) 763-0200
(901) 761-4002
Mailing address
7460 WOLF RIVER BLVD, GERMANTOWN, TN 38138-1760
(901) 763-0200
(901) 761-4002
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
2227
TN
Other
Enumeration date
09/19/2012
Last updated
03/26/2013
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