Individual
EDEN LOVONE MATHESON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN COMMUNITY HEALTH
Contact information
Practice address
715 W MAIN ST, MOUNTAIN CITY, TN 37683-1217
(423) 727-9731
(423) 727-4153
Mailing address
PO BOX 235, LAUREL BLOOMERY, TN 37680-0235
(423) 727-9731
(423) 727-4153
Taxonomy
Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
Primary
RN0000141565
TN
Other
Enumeration date
02/06/2007
Last updated
07/08/2007
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