Individual
DR. MARTY MATHIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PSY D
Contact information
Practice address
176 FREAMAN GRAHAM BLVD, EASTMAN, GA 31023-8047
(478) 374-6453
Mailing address
176 FREAMAN GRAHAM BLVD, EASTMAN, GA 31023-8047
(478) 374-6453
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PSY002592
GA
Other
Enumeration date
11/22/2013
Last updated
11/22/2013
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