Mathis, Elizabeth R

Mathis, Elizabeth R is an individual health care provider with primary practice located at 710 Center St , Columbus GA 31901-1527. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, which is considered as her primary health care specialty. Mathis, Elizabeth R can be contacted via phone (706) 571-1220.

Contact Information

Primary practice address
710 Center St Columbus GA 31901-1527
Phone: (706) 571-1220
Fax: (706) 571-1070
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X RN160912 Georgia

Profile Details

NPI number 1508016361
LBN Legal business name Mathis, Elizabeth R
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 29th, 2008
Last updated Aug 25th, 2014 - about 11 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 1508016361 NPPES
Georgia MEDICAID 202735123D

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