Mathis, Lauren
Mathis, Lauren is an individual health care provider with primary practice located at 411 Town Park Blvd , Evans GA 30809-3487. She recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Pediatrics. Physician Assistants & Advanced Practice Nursing Providers / Pediatrics is her primary health care specialty. Mathis, Lauren can be contacted via phone (706) 854-2500.Contact Information
Primary practice address
411 Town Park Blvd
Evans GA 30809-3487
Phone: (706) 854-2500
Fax: (706) 854-2559
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | RN214012 | Georgia |
| Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | RN214012 | Georgia |
| Physician Assistants & Advanced Practice Nursing Providers / Pediatrics | 363LP0200X | RN214012 | Georgia |
Profile Details
| NPI number | 1740729516 |
|---|---|
| LBN Legal business name | Mathis, Lauren |
| Credentials | Nurse Practitioner (NP) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 14th, 2017 |
| Last updated | Jan 24th, 2024 - about 2 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 | 1740729516 | NPPES |
| Georgia | MEDICAID | 003187586D | |
| Georgia | MEDICAID | 003187586E | |
| Georgia | MEDICAID | 003187586F |
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