Mathis, Mary Carol

Mathis, Mary Carol is an individual health care provider with primary practice located at 1330 Boiling Springs Rd Suite 1400, Spartanburg SC 29303-2244. She recently has only one registered license in Speech, Language and Hearing Service Providers / Audiologist, which is considered as her primary health care specialty. Mathis, Mary Carol can be contacted via phone (864) 278-1446.

Contact Information

Primary practice address
1330 Boiling Springs Rd Suite 1400 Spartanburg SC 29303-2244
Fax: (864) 582-4991
Website:

Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Audiologist 231H00000X 1041 South Carolina

Profile Details

NPI number 1720043730
LBN Legal business name Mathis, Mary Carol
Credentials M.AUD.
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 20th, 2006
Last updated Oct 20th, 2009 - about 17 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1720043730 NPPES
South Carolina MEDICAID SA0265

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