# DRACO GROUP OF MARIETTA, INC.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1184810913
- **Authorized official:** MR. BERNARDO MATOS (PRESIDENT)
- **Authorized official phone:** (678) 819-3936

## Contact information

- **Practice address:** 3020 ROSWELL RD STE 216-A, MARIETTA, GA 30062-4996
- **Practice address phone:** (678) 819-3936
- **Practice address fax:** (678) 819-3943
- **Mailing address:** 3020 ROSWELL RD STE 216-A, MARIETTA, GA 30062-4996
- **Mailing address phone:** (678) 819-3936
- **Mailing address fax:** (678) 819-3943

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208D00000X | General Practice Physician | — | NULL | Yes |
| 208D00000X | General Practice Physician | — | — | Yes |

## Other

- **Enumeration date:** 09/14/2007
- **Last updated:** 09/14/2007