Mathews, Kim Jackson

Mathews, Kim Jackson is an sole proprietor health care provider with primary practice located at 2401 Newnan Crossing Blvd E Suite 210, Newnan GA 30265-2408. She recently has only one registered license in Dental Providers / Pediatric Dentistry, which is considered as her primary health care specialty. Mathews, Kim Jackson can be contacted via phone (770) 251-5777.

Contact Information

Primary practice address
2401 Newnan Crossing Blvd E Suite 210 Newnan GA 30265-2408
Phone: (770) 251-5777
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Pediatric Dentistry 1223P0221X 12198 Georgia

Profile Details

NPI number 1639349970
LBN Legal business name Mathews, Kim Jackson
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 3rd, 2008
Last updated Feb 24th, 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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