Mathis, Stephanie L

Mathis, Stephanie L is an individual health care provider with primary practice located at 750 Townpark Lake Kaiser Permanente Townpark Comprehensive Medical Center, Kennesaw GA 30144. 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, Stephanie L can be contacted via phone (770) 514-5401.

Contact Information

Primary practice address
750 Townpark Lake Kaiser Permanente Townpark Comprehensive Medical Center Kennesaw GA 30144
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 115936 Georgia

Profile Details

NPI number 1730330101
LBN Legal business name Mathis, Stephanie L
Credentials FNP-C
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 3rd, 2008
Last updated Feb 15th, 2022 - about 2 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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