MEDICARE: JHUSTYCE I MATHEWS

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	106S00000X	Behavior Technician

General Provider Information

NPI Number	:	1245833615
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JHUSTYCE I MATHEWS

Provider Business Mailing Address
First Line	:	1423 HARBOR CREEK PKWY
Second Line	:
City	:	CANTON
State	:	GA
Zip	:	30115-9587
Country	:	US
Telephone Number	:	678-923-3404
Fax Number	:

Provider Business Practice Location Address
First Line	:	1423 HARBOR CREEK PKWY
Second Line	:
City	:	CANTON
State	:	GA
Zip	:	30115-9587
Country	:	US
Telephone Number	:	678-923-3404
Fax Number	:

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

Provider Enumeration Date	:	11/18/2020
Last Update Date	:	11/18/2020

Similar Medicare Providers

1174831218 — CANTON PHYSICAL MEDICARE, LLC
Practice Location Address:

2050 CUMMING HWY , SUITE 100
CANTON, GA
30114-8614

Practice Phone: 770-345-9600
Practice Fax:

1851241491 — DR. ERIN S MASSARELLO
Practice Location Address:

450 NORTHSIDE CHEROKEE BLVD
CANTON, GA
30115-8015

Practice Phone: 770-224-1000
Practice Fax:

1902249550 — HUSSEIN RAYATZADEH M.D.
Practice Location Address:

460 NORTHSIDE CHEROKEE BLVD STE 150
CANTON, GA
30115-8018

Practice Phone: 470-639-6250
Practice Fax: 770-345-0712

1417950668 — DR. VICTOR W CHEN MD
Practice Location Address:

460 NORTHSIDE CHEROKEE BLVD STE 300
CANTON, GA
30115-8019

Practice Phone: 770-721-9630
Practice Fax: 770-721-9631

1801899554 — DR. CHARLES EDWARD WEAVER JR. MD PHD
Practice Location Address:

470 NORTHSIDE CHEROKEE BLVD STE 170
CANTON, GA
30115-8029

Practice Phone: 770-721-9540
Practice Fax: 770-721-9541

1295732600 — PAUL J HYLER M.D.
Practice Location Address:

450 NORTHSIDE CHEROKEE BLVD
CANTON, GA
30115-8015

Practice Phone: 770-224-1000
Practice Fax: 770-224-2451

Directions to “ JHUSTYCE I MATHEWS ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.