Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
VIVIAN P MATHIS
ActiveVIVIAN P MATHIS is a Community Health Worker healthcare provider located in DALZELL, South Carolina. NPI 1619647336 is currently active in the NPPES registry. Verify at CMS.
Community Health Worker · DALZELL, SC
Registration Details
- NPI Number
- 1619647336
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Sep 14, 2021 (4.9487087754648 yrs)
- Last Updated
- Sep 14, 2021
Practice Information
- Address
-
337 FAT BACK RDDALZELL, SC, 290408548Browse SC providers · Browse ZIP 29040
- Phone
- 8034597448
- Primary Specialty
-
Community Health Worker
172V00000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.