Individual
CLARA A MATTHEWS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BSN,RN, CSFA
Contact information
Practice address
1930 WINDSOR CREEK DRIVE SW, CONYERS, GA 30094
(717) 324-0667
Mailing address
863 FLAT SHOALS RD SE, SUITE C #376, CONYERS, GA 30094-6633
(717) 324-0667
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
193351
GA
363AS0400X
Surgical Physician Assistant
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Other
Enumeration date
12/18/2019
Last updated
03/09/2020
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