Individual
BYRON TYRONE MATTHEWS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1565 HIGHWAY 34 E, NEWNAN, GA 30265-2401
(877) 288-4760
Mailing address
267 VILLAGE PARK DR, NEWNAN, GA 30265-6259
(334) 663-2345
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
23-302949
GA
Other
Enumeration date
10/09/2023
Last updated
10/09/2023
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