Individual
MAURI L. MATEYCHAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
1321 ECHO MILL COURT, POWDER SPRINGS, GA 30127
(770) 645-9181
(770) 645-8455
Mailing address
1321 ECHO MILL COURT, POWDER SPRINGS, GA 30127
(770) 645-9181
(770) 645-8455
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
RN149214
GA
Other
Enumeration date
10/05/2005
Last updated
07/08/2007
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