Vivian P Mathis
NPI #1619647336 in Dalzell, South Carolina
Provider Information
- NPI Number
- 1619647336
- Entity Type
- Individual
- Name
- Vivian P Mathis
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Community Health Worker
- Enumeration Date
- Sep 14, 2021
- Last Updated
- Sep 14, 2021
Practice Location
- Address
- 337 FAT BACK RD
- City
- Dalzell
- State
- South Carolina
- ZIP Code
- 29040-8548
- Phone
- (803) 459-7448
Specialties & Taxonomy Codes
| Specialty |
|---|
| Community Health Worker |
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