Mathis, Laura
Mathis, Laura is an individual health care provider with primary practice located at 744 Middle Creek Rd Ste 108 , Sevierville TN 37862-5036. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Mathis, Laura can be contacted via phone (865) 446-9500.Contact Information
Primary practice address
744 Middle Creek Rd Ste 108
Sevierville TN 37862-5036
Phone: (865) 446-9500
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 20024 | Tennessee |
Profile Details
| NPI number | 1841666583 |
|---|---|
| LBN Legal business name | Mathis, Laura |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 17th, 2015 |
| Last updated | Aug 10th, 2021 - about 5 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1841666583 | NPPES |
| Tennessee | MEDICAID | Q015609 |
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