Individual
JOHN MATECHAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
677 CHURCH ST NE, MARIETTA, GA 30060-1101
(470) 376-0458
Mailing address
677 CHURCH ST NE, MARIETTA, GA 30060-1101
(470) 376-0458
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
00000000
GA
Other
Enumeration date
04/03/2025
Last updated
04/03/2025
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