Individual
ELIZABETH MATOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1909 CENTRAL AVE, AUGUSTA, GA 30904-4125
(706) 364-1412
Mailing address
1909 CENTRAL AVE, AUGUSTA, GA 30904-4125
(706) 364-1412
(706) 922-8840
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Enumeration date
06/22/2016
Last updated
06/22/2016
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