Individual
DEBRA ENGELKE MATTIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PAA
Contact information
Practice address
1001 JOHNSON FERRY RD, SCOTTISH RITE DEPT OF ANES, ATLANTA, GA 30342
(404) 785-2008
(404) 785-4496
Mailing address
1338 EDMUND PARK DRIVE, ATLANTA, GA 30306
(404) 875-5569
(404) 785-4496
Taxonomy
Speciality
Code
Description
License number
State
367H00000X
Anesthesiologist Assistant
Primary
003753
GA
Other
Enumeration date
10/16/2006
Last updated
07/08/2007
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