Heath Mathis, Gossie Colette

Heath Mathis, Gossie Colette is an sole proprietor health care provider with primary practice located at 130 Plaza Cir , Santee SC 29142-9630. She recently has only one registered license in Allopathic & Osteopathic Physicians / Adolescent Medicine, which is considered as her primary health care specialty. Heath Mathis, Gossie Colette can be contacted via phone (803) 854-3940.

Contact Information

Primary practice address
130 Plaza Cir Santee SC 29142-9630
Phone: (803) 854-3940
Fax: (803) 854-3945
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Adolescent Medicine 207RA0000X 13454 South Carolina

Profile Details

NPI number 1295856557
LBN Legal business name Heath Mathis, Gossie Colette
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 3rd, 2007
Last updated Feb 18th, 2015 - about 10 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1295856557 NPPES
South Carolina MEDICAID GPO261

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