Individual
MS. MATILDA MABEL ANTWI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
715 RIVER RUSH DR, SUGAR HILL, GA 30518-7465
(630) 202-6958
Mailing address
715 RIVER RUSH DR # 715, SUGAR HILL, GA 30518-7465
(630) 202-6958
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
F03230449
GA
Other
Enumeration date
03/30/2023
Last updated
03/30/2023
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