Gossie Colette Heath Mathis in Santee - Adolescent Medicine

Gossie Colette Heath Mathis - NPI 1295856557

Gossie Colette Heath Mathis is a Adolescent Medicine in Santee, South Carolina. Gossie Colette Heath Mathis practices all healthcare services and medical treatments related to Adolescent Medicine. The NPI Number for Gossie Colette Heath Mathis is 1295856557. The last update date is 2015-02-18.

Gossie Colette Heath Mathis's current location address is Po Box 277, Santee, South Carolina. You can contact this provider via phone number 8038543940 and fax number 8038543945. The mailing address for Gossie Colette Heath Mathis is Po Box 277, Santee, South Carolina. To know further, please read the information below!

Provider Profile Detail

Provider Name Gossie Colette Heath Mathis
Address Po Box 277, Santee, South Carolina
Phone Number 8038543940
Fax Number 8038543945
Sole Proprietor Y
Credentials M.D

NPI Number Detail

NPI Number 1295856557
Provider Enumeration Date 2007-04-03
Last Updated Date 2015-02-18

Provider Mailing Address Detail

Address Po Box 277
City Santee
State South Carolina (SC)
Post Code 291420277
Phone Number 8038543940
Fax Number 8038543945

Provider's Primary Taxonomy Detail

Speciality Adolescent Medicine
Taxonomy 207Ra0000X
Licence No 13454
Definition:
An internist who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
GPO261 SC --

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FAQs about Gossie Colette Heath Mathis

What is the unique provider identifier assigned to Gossie Colette Heath Mathis?

The Gossie Colette Heath Mathis has been issued the NPI (National Provider Identifier) 1295856557 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.

Could you kindly provide the complete physical address where Gossie Colette Heath Mathis's facilities are geographically located?

The facilities of Gossie Colette Heath Mathis are physically situated at the following location: Po Box 277, Santee, SC, 291420277.

What is the Gossie Colette Heath Mathis's area of specialization and corresponding taxonomy classification?

The Gossie Colette Heath Mathis's specialty field is Adolescent Medicine, and it falls under the taxonomy code 207Ra0000X, which categorizes healthcare providers based on their specialties.

On what date did the Centers for Medicare & Medicaid Services assign the 1295856557 to Gossie Colette Heath Mathis?

The Centers for Medicare & Medicaid Services assigned the 1295856557 to Gossie Colette Heath Mathis on 2007-04-03.

As of what date were the details pertaining to Gossie Colette Heath Mathis last refreshed?

The information related to the Gossie Colette Heath Mathis, including its address, specialty, and other relevant details, was last updated on 2015-02-18.

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