Gangatharan Mathisuthan, M.D
NPI #1982668745 in Mullins, South Carolina
Provider Information
- NPI Number
- 1982668745
- Entity Type
- Individual
- Name
- Gangatharan Mathisuthan, M.D
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Internal Medicine
- Credential
- M.D
- Enumeration Date
- Apr 17, 2006
- Last Updated
- Oct 15, 2020
Practice Location
- Address
- 511 S MAIN ST
- City
- Mullins
- State
- South Carolina
- ZIP Code
- 29574-3509
- Phone
- (843) 464-8244
Specialties & Taxonomy Codes
| Specialty |
|---|
| Internal Medicine |
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Organizations
| Provider Name | |
|---|---|
| Vinca Inpatient Services |
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