MIA M MATHEWSON

LAWRENCEVILLE, GA
NPI1194947630
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy207L00000X Anesthesiology
(Licence: GA  077658)
Additional Taxonomies207LP3000X Anesthesiology Pediatric Anesthesiology
(Licence: TX  N4578)
Enumeration Date2007-05-03
Last Update Date2017-04-27
Business Address
MIA M MATHEWSON M.D.
575 PROFESSIONAL DR STE 165
LAWRENCEVILLE, GA 30046-3333
Phone number: 770-277-3056
Mailing Address
MIA M MATHEWSON M.D.
PO BOX 551420
FORT LAUDERDALE, FL 33355-1420
Phone number: 800-243-3839