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Organization
CREATING IMAGES
Active
Organization
CREATING IMAGES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TREVAIL RINITE MATTOS (OWNER)
(770) 309-8446
Entity
Organization
Contact information
Practice address
1540 HIGHWAY 138 SE, CONYERS, GA 30013-1297
(770) 309-8446
Mailing address
30 HOMESTEAD WAY, COVINGTON, GA 30014-7608
(770) 309-8446
Taxonomy
Speciality
Code
Description
License number
State
332BX2000X
Oxygen Equipment & Supplies (DME)
Primary
—
—
Other
Enumeration date
08/05/2026
Last updated
08/05/2026
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