Mathis, Heather Marie

Mathis, Heather Marie is an individual health care provider with primary practice located at 1010 Hospital Dr Bldg B , Stockbridge GA 30281-7384. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Mathis, Heather Marie can be contacted via phone (770) 507-1344.

Contact Information

Primary practice address
1010 Hospital Dr Bldg B Stockbridge GA 30281-7384
Phone: (770) 507-1344
Fax: (770) 507-1377
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X RN149754NP Georgia

Profile Details

NPI number 1639470206
LBN Legal business name Mathis, Heather Marie
Credentials FNP-C
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 12th, 2010
Last updated Mar 14th, 2019 - about 5 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 1639470206 NPPES
Georgia MEDICAID 003113176A

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