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Individual

MS. TINA B. MATHEWS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
RNFA

Contact information

Practice address
426 WAVERLY DR, AUGUSTA, GA 30909-3121
(404) 290-3675
Mailing address
426 WAVERLY DR, AUGUSTA, GA 30909-3121
(404) 290-3675

Taxonomy

Speciality
Code
Description
License number
State
163WR0006X
Registered Nurse First Assistant
Primary
RN053784
GA
364SP2800X
Perioperative Clinical Nurse Specialist
RN053784
GA

Other

Enumeration date
12/02/2006
Last updated
08/31/2015
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