Individual
YHANEEK N DOUGLAS-MATTIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
80 JESSE HILL JR DR SE, ATLANTA, GA 30303-3031
(404) 616-4626
Mailing address
205 HENLEY SPGS, MCDONOUGH, GA 30252-4080
(404) 536-4226
Taxonomy
Speciality
Code
Description
License number
State
363LC0200X
Critical Care Medicine Nurse Practitioner
Primary
RN240093
GA
Other
Enumeration date
10/03/2019
Last updated
10/03/2019
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