Individual
DR. MATTHEW IREDIA EBALU JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
7130 MOUNT ZION BLVD STE 9, JONESBORO, GA 30236-2566
(770) 603-5660
Mailing address
6397 LEE HWY STE 300, CHATTANOOGA, TN 37421-4915
(423) 238-3473
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT016228
GA
Other
Enumeration date
12/25/2021
Last updated
09/20/2022
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