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Individual

DR. MATTHEW JOSEPH FABRIZIO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
3225 CUMBERLAND BLVD SE STE 800, ATLANTA, GA 30339-5970
(404) 351-2220
Mailing address
3225 CUMBERLAND BLVD SE, SUITE 900, ATLANTA, GA 30339-6407
(404) 351-2220
(404) 352-5392

Taxonomy

Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
65962
GA
207WX0009X
Glaucoma Specialist (Ophthalmology) Physician
Primary
065962
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
003109559E
GA
Enumeration date
11/20/2007
Last updated
03/08/2019
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