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NPI Code Detail

MEDICARE: MRS. AMELIA SIKA MATHEW MD

MEDICARE:  MRS. AMELIA SIKA MATHEW  MD
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
12084P0800XPsychiatry Physician58285GA

General Provider Information

NPI Number : 1376562488
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. AMELIA SIKA MATHEW MD
Provider Business Mailing Address
First Line : PO BOX 742616
Second Line :
City : ATLANTA
State : GA
Zip : 30374-2616
Country : US
Telephone Number : 770-219-8420
Fax Number : 770-219-8440
Provider Business Practice Location Address
First Line : 200 WISTERIA DR
Second Line :
City : GAINESVILLE
State : GA
Zip : 30501-3827
Country : US
Telephone Number : 770-219-5407
Fax Number : 770-219-7102
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/19/2006
Last Update Date : 12/18/2015

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Directions to “ MRS. AMELIA SIKA MATHEW MD” Practice Location

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