Individual
LAUREN MATHIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
N.P.
Contact information
Practice address
411 TOWN PARK BLVD, EVANS, GA 30809-3487
(706) 854-2500
(706) 854-2559
Mailing address
411 TOWN PARK BLVD, EVANS, GA 30809-3487
(706) 854-2500
(706) 854-2559
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
RN214012
GA
363L00000X
Nurse Practitioner
RN214012
GA
363LP0200X
Pediatric Nurse Practitioner
Primary
RN214012
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003187586D
—
GA
05
—
003187586E
—
GA
05
—
003187586F
—
GA
Enumeration date
02/14/2017
Last updated
10/27/2025
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