Provider Demographics
NPI:1356002042
Name:MATHIS, BRITTANY ZANIA
Entity Type:Individual
Prefix:
First Name:BRITTANY ZANIA
Middle Name:
Last Name:MATHIS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1431 PERSIMMON TRCE
Mailing Address - Street 2:
Mailing Address - City:MORROW
Mailing Address - State:GA
Mailing Address - Zip Code:30260-4194
Mailing Address - Country:US
Mailing Address - Phone:404-453-9266
Mailing Address - Fax:
Practice Address - Street 1:1431 PERSIMMON TRCE
Practice Address - Street 2:
Practice Address - City:MORROW
Practice Address - State:GA
Practice Address - Zip Code:30260-4194
Practice Address - Country:US
Practice Address - Phone:404-453-9266
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-01-04
Last Update Date:2022-01-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula