Individual
MARIAN KATARINA MATHIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
300 CALLEN BLVD STE 300, SUMMERVILLE, SC 29486-2816
(843) 789-1800
Mailing address
PO BOX 751649, CHARLOTTE, NC 28275-1649
(843) 789-1620
(843) 724-2440
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
5068
SC
Other
Enumeration date
10/26/2023
Last updated
12/07/2023
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