MAT GEORGIA LLC NPI 1356797666

NPI Information

MAT GEORGIA, LLC is an addiction medicine internal medicine in Marietta, GA. The provider is an internist doctor of osteopathy that specializes in the treatment of addiction disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine can obtain a Certificate of Added Qualifications in the field of Addiction Medicine. MAT GEORGIA, LLC NPI is 1356797666. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

335 ROSELANE ST NW
SUITE 203
MARIETTA, GA
ZIP 30060-902
Phone: (818) 212-4659

The provider's authorized official is Victor Alfonso .
The authorized official title is Ceo and has the following contact phone number (818) 212-4659.

The enumeration date for this NPI number is 5/5/2016 and was last updated on 5/5/2016.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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