Gossie Colette Heath Mathis (NPI# 1295856557, PAC ID# 9436275641) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERNAL MEDICINE.
| Nation Provider ID (NPI) | 1295856557 |
| PAC ID by PECOS | 9436275641 |
| Professional Enrollment ID | I20100924001026 |
| Full Name | Gossie Colette Heath Mathis |
| Address |
130 Plaza Cir Santee SC 29142-9630 |
| Gender | F |
| Medical School | HOWARD UNIVERSITY COLLEGE OF MEDICINE |
| Graduation Year | 1983 |
| Primary Specialty | INTERNAL MEDICINE |
| Secondary Specialties | PEDIATRIC MEDICINE |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 420068 | TRMC OF ORANGEBURG & CALHOUN |
| Address | Phone | Organization |
|---|---|---|
| 130 Plaza Cir, Santee, SC 29142-9630 |
| Street Address |
130 PLAZA CIR |
| City | SANTEE |
| State | SC |
| Zip | 29142-9630 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jeffrey S Pockl | Optometry | 190 Business Park Dr, Santee, SC 29142-8689 |
| City | SANTEE |
| Zip Code | 29142 |
| Specialty | INTERNAL MEDICINE |
| City + Specialty | SANTEE + INTERNAL MEDICINE |
Please comment or provide details below to improve the information on Gossie Colette Heath Mathis.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.