Individual
JAMES MATHERLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RD, LD
Contact information
Practice address
118 E OAK RIDGE DR STE 1100, HAGERSTOWN, MD 21740-7793
(240) 382-1312
Mailing address
438 BASHORE DR, MARTINSBURG, WV 25404-7603
(304) 546-6094
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
DX5156
MD
Other
Enumeration date
01/05/2021
Last updated
01/05/2021
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