RICHARD MATTISON MD LLC NPI 1205008489

NPI Information

  • NPI: 1205008489
  • Provider Name: RICHARD MATTISON, MD LLC
  • Classification: Specialist - 174400000X
  • Entity Type: Organization
  • Doing Business As: TUXEDO AESTHETIC SURGERY CENTER
  • Address: 3833 ROSWELL RD NE
    SUITE #116
    ATLANTA, GA
    ZIP 30342
  • Phone: (404) 812-0211

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NPI Details

RICHARD MATTISON, MD LLC is a specialist in Atlanta, GA. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. RICHARD MATTISON, MD LLC NPI is 1205008489. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Tuxedo Aesthetic Surgery Center.

The provider's business location address is:

3833 ROSWELL RD NE
SUITE #116
ATLANTA, GA
ZIP 30342-432
Phone: (404) 812-0211
Fax: (404) 812-9011

The provider's authorized official is Richard Crawford Mattison .
The authorized official title is Owner and has the following contact phone number (404) 812-0211.

The enumeration date for this NPI number is 3/28/2008 and was last updated on 7/1/2008.

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:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1174400000XSpecialist011627GEORGIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1011627MEDICARE UPINGEORGIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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