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1730185927
TIMOTHY E MATHIS
SHREVEPORT, LA
NPI
1730185927
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: LA 07536R)
Enumeration Date
2005-06-22
Last Update Date
2024-05-08
Business Address
TIMOTHY E MATHIS MD
8383 MILLICENT WAY
SHREVEPORT, LA 71115-5207
Phone number: 318-797-6661
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Mailing Address
TIMOTHY E MATHIS MD
8383 MILLICENT WAY
SHREVEPORT, LA 71115-5207
Phone number: 318-797-6661
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