COLIN O MATHENY

ROME, GA
NPI1609969823
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363AS0400X Physician Assistant, Surgical
(Licence: GA  004874)
Enumeration Date2006-10-02
Last Update Date2010-10-15
Business Address
-- COLIN O MATHENY PA
100 THREE RIVERS DR NE
ROME, GA 30161-4999
Phone number: 706-292-0040
Mailing Address
-- COLIN O MATHENY PA
100 THREE RIVERS DR NE
ROME, GA 30161-4999
Phone number: 706-292-0040
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