MEDICARE: MARQUESIA TRION MATHIS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	343900000X	Non-emergency Medical Transport (VAN)		GA

General Provider Information

NPI Number	:	1649116443
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MARQUESIA TRION MATHIS

Provider Business Mailing Address
First Line	:	1625 GODFREY RD
Second Line	:
City	:	EATONTON
State	:	GA
Zip	:	31024-6222
Country	:	US
Telephone Number	:	706-623-1541
Fax Number	:

Provider Business Practice Location Address
First Line	:	1625 GODFREY RD
Second Line	:
City	:	EATONTON
State	:	GA
Zip	:	31024-6222
Country	:	US
Telephone Number	:	706-623-1541
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/25/2026
Last Update Date	:	04/25/2026

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Directions to “ MARQUESIA TRION MATHIS ” Practice Location

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