Individual
MADISON J MATUZAK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
168 LAKEPOINTE DR, SAVANNAH, GA 31407-3551
(515) 720-6687
Mailing address
168 LAKEPOINTE DR, SAVANNAH, GA 31407-3551
(515) 720-6687
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
4885
SC
Other
Enumeration date
01/18/2024
Last updated
01/18/2024
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