ELLISA A MATHIS

WAYCROSS, GA
NPI1801903596
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: GA  RN068928)
Enumeration Date2006-08-25
Last Update Date2009-10-30
Business Address
Miss ELLISA A MATHIS FNP'C
409 UVALDA ST
WAYCROSS, GA 31501-4574
Phone number: 912-283-1359
Mailing Address
Miss ELLISA A MATHIS FNP'C
800 BEACON ST
WAYCROSS, GA 31501-7104
Phone number: 912-287-4434
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