Search › Georgia › 207Q00000X
Jenson Mathew, MD
NPI 1285291070 · on the registry since 2019 · sole proprietor
Practice
- Address
- 367 Clear Creek Pkwy
Lavonia, GA 30553 - Phone
- (912) 584-9416
- Organisation at this address
- Cep America Llc
Cobb Enterprises Llc
Lavonia Emergency Group Llc
Vituity-Georgia Anesthesia Pc
Vituity-Georgia Hospitalists PcInferred from a shared address, not stated in the registry. - Clinicians at this address
- 10
Additional practice sites
- 1459 Laney Walker Blvd, Augusta, GA
- 11379 Southbridge Pkwy, Alpharetta, GA
Registry record
- Primary taxonomy
- 207Q00000X
207Q00000X
- Also registered as
- 207Q00000X
208M00000X - Licence states on file
- GA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2024-04-23
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Georgia