Individual
MRS. KATI MATHIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
2104A WOODRUFF RD, GREENVILLE, SC 29607-5941
(864) 336-2323
(864) 236-4222
Mailing address
2255 GLADES RD STE 228W, BOCA RATON, FL 33431-7391
(561) 342-8829
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
25306
SC
Other
Enumeration date
07/08/2020
Last updated
04/05/2023
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