Individual
DOUGLAS MATTOX
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
550 PEACHTREE ST NE DEPT OF, ATLANTA, GA 30308-2247
(404) 778-3381
(404) 778-4295
Mailing address
1365A CLIFTON RD NE, DEPARTMENT OF OTOLARYNGOLOGY - HEAD AND NECK SURGERY, ATLANTA, GA 30322-1013
(404) 778-3381
(404) 778-4295
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
45291
GA
207YX0901X
Otology & Neurotology Physician
Primary
45291
GA
Other
Enumeration date
08/31/2006
Last updated
07/28/2021
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