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Kaya Iman Matthews
Student in an Organized Health Care Education/Training Program in Soperton, Georgia
NPI 1215500897

Kaya Iman Matthews is a Student in an Organized Health Care Education/Training Program based in Soperton, GA. Kaya Iman Matthews practices in Soperton, GA. The NPI Number for Kaya Iman Matthews is 1215500897 and holds a License No. (Georgia).

The current practice location address for Kaya Iman Matthews is 274 Boomerang Ln, Soperton, GA and can be reached out via phone at 404-857-9249.

Location: 274 Boomerang Ln, Soperton, GA, 30457-3204
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1215500897
Provider Name
Kaya Iman Matthews
Credential
Provider Entity Type
Individual
Gender
Female
Address
274 Boomerang Ln, Soperton, GA, 30457-3204
Phone Number
404-857-9249
Fax Number
Provider Enumeration Date
07/21/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
274 Boomerang Ln
City
Soperton
State
Georgia
Zip
30457-3204
Phone Number
404-857-9249
Fax Number
person
Provider Business Mailing Address Details
Address
274 Boomerang Ln
City
Soperton
State
Georgia
Zip
30457-3204
Phone Number
404-857-9249
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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