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Individual

MRS. PATTI MATALONE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
4646 N SHALLOWFORD RD, ATLANTA, GA 30338-6308
(770) 676-6000
(770) 392-9805
Mailing address
3111 QUEENS WALK NE, ATLANTA, GA 30345-2165
(770) 938-1416

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN-076489
GA

Other

Enumeration date
03/18/2014
Last updated
03/18/2014
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