Individual
IZABELLA MATATOVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
625 OLD PEACHTREE RD NW, SUWANEE, GA 30024-2937
(678) 225-7500
Mailing address
625 OLD PEACHTREE RD NW, SUWANEE, GA 30024-2937
(678) 225-7500
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
03/06/2022
Last updated
03/06/2022
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