Individual
MRS. LAUREN ASHLEY MATTOX
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PMHNP
Contact information
Practice address
223 MEDICAL CENTER DR, RIVERDALE, GA 30274-2640
(770) 991-8500
Mailing address
2275 STROUD RD, JACKSON, GA 30233-2812
(770) 940-9262
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
254847
GA
Other
Enumeration date
03/10/2025
Last updated
03/10/2025
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