Mathew, Jenson T

Mathew, Jenson T is an sole proprietor health care provider with primary practice located at 367 Clear Creek Pkwy , Lavonia GA 30553-4173. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Hospitalist. Allopathic & Osteopathic Physicians / Family Medicine is his primary health care specialty. Mathew, Jenson T can be contacted via phone (912) 584-9416.

Contact Information

Primary practice address
367 Clear Creek Pkwy Lavonia GA 30553-4173
Phone: (912) 584-9416
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 91384 Georgia
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 10952 Georgia
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X 91384 Georgia

Profile Details

NPI number 1285291070
LBN Legal business name Mathew, Jenson T
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 28th, 2019
Last updated Apr 23rd, 2024 - about last year

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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