Organization
DRACO GROUP OF MARIETTA, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BERNARDO MATOS (PRESIDENT)
(678) 819-3936
Entity
Organization
Contact information
Practice address
3020 ROSWELL RD STE 216-A, MARIETTA, GA 30062-4996
(678) 819-3936
(678) 819-3943
Mailing address
3020 ROSWELL RD STE 216-A, MARIETTA, GA 30062-4996
(678) 819-3936
(678) 819-3943
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
—
—
Other
Enumeration date
09/14/2007
Last updated
09/14/2007
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