Mathis Drive Inpatient Services Pllc

NPI #1659709178 in Dickson, Tennessee

Provider Information

NPI Number: 1659709178
Entity Type: Organization
Organization Name: Mathis Drive Inpatient Services Pllc
Primary Specialty: Internal Medicine
Enumeration Date: Oct 18, 2013
Last Updated: Dec 21, 2020

Practice Location

Address: 111 HIGHWAY 70 E
City: Dickson
State: Tennessee
ZIP Code: 37055-2080
Phone: (469) 401-2386

Authorized Official

Name: KATHLEEN KONDAS
Title: OFFICER
Phone: (973) 251-1132

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X
Nurse Practitioner	363L00000X
Internal Medicine	207R00000X	Primary

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