Individual
DEBRA L CRAWLEY-MATAOSKY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
316 N MAIN ST, SWAINSBORO, GA 30401-3535
(478) 237-2638
(478) 237-9138
Mailing address
PO BOX 807, SWAINSBORO, GA 30401-0807
(478) 237-2638
(478) 237-9138
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
033573
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
08BDFLS
MEDICARE FFS
—
01
—
111811
UGS-SPARTA
GA
01
—
111812
UGS-GIBSON
GA
01
—
111813
UGS-CRAWFORDVILLE
GA
01
—
111814
UGS-WARRENTON
GA
01
—
111830
UGS-SWAINSBORO
GA
01
—
111887
UGS REIDSVILLE
GA
01
—
111889
UGS-SOPERTON
GA
Enumeration date
08/24/2005
Last updated
11/07/2007
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