Mathis, Raymond Douglas

Mathis, Raymond Douglas is an individual health care provider with primary practice located at 104A W University Pkwy , Jackson TN 38305-1635. He recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as his primary health care specialty. Mathis, Raymond Douglas can be contacted via phone (731) 661-0333.

Contact Information

Primary practice address
104A W University Pkwy Jackson TN 38305-1635
Fax: (731) 661-0343
Website:

Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist 183500000X 3775 Tennessee

Profile Details

NPI number 1518093103
LBN Legal business name Mathis, Raymond Douglas
Credentials Doctor of Public Health (DPH)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 26th, 2007
Last updated Jul 8th, 2007 - about 17 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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