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Izabella Matatova
Student in an Organized Health Care Education/Training Program in Suwanee, Georgia
NPI 1306593751

Izabella Matatova is a Student in an Organized Health Care Education/Training Program based in Suwanee, GA. Izabella Matatova practices in Suwanee, GA. The NPI Number for Izabella Matatova is 1306593751 and holds a License No. (Georgia).

The current practice location address for Izabella Matatova is 625 Old Peachtree Rd Nw, Suwanee, GA and can be reached out via phone at 678-225-7500.

Location: 625 Old Peachtree Rd Nw, Suwanee, GA, 30024-2937
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1306593751
Provider Name
Izabella Matatova
Credential
Provider Entity Type
Individual
Gender
Female
Address
625 Old Peachtree Rd Nw, Suwanee, GA, 30024-2937
Phone Number
678-225-7500
Fax Number
Provider Enumeration Date
03/06/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
625 Old Peachtree Rd Nw
City
Suwanee
State
Georgia
Zip
30024-2937
Phone Number
678-225-7500
Fax Number
person
Provider Business Mailing Address Details
Address
625 Old Peachtree Rd Nw
City
Suwanee
State
Georgia
Zip
30024-2937
Phone Number
678-225-7500
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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