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Contact Information

B MATA LLC
1631 ATLANTA HWY
GAINESVILLE, GA30504-5942
 Phone: 770-718-1517
 Fax: 770-718-1518
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Geriatric Medicine

207QG0300X 08 Physician/Family Practice
Indicates primary specialty

NPI Profile & details for B MATA LLC · (Female)

NPI Number 1295366292
Status Active
Credentials
Entity Individual
Enumeration date 01/28/2020
Last updated 01/28/2020 - About 6 years ago
Sole proprietor 1 Not specified
Identifiers Not Available
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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