Organization
RICHARD MATTISON, MD LLC
Active
Other names
Tuxedo Aesthetic Surgery Center
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RICHARD CRAWFORD MATTISON MD, FACS (OWNER)
(404) 812-0211
Entity
Organization
Contact information
Practice address
3833 ROSWELL RD NE, SUITE #116, ATLANTA, GA 30342-4432
(404) 812-0211
(404) 812-9011
Mailing address
3833 ROSWELL RD NE, SUITE #116, ATLANTA, GA 30342-4432
(404) 812-0211
(404) 812-9011
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
011627
GA
Other
Enumeration date
03/28/2008
Last updated
07/01/2008
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