Individual
MR. CHARLES MATUZA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
P.A.
Contact information
Practice address
303 PARKWAY DR NE, ATLANTA, GA 30312-1212
(404) 265-4712
Mailing address
8105 VICTORIA LN, CUMMING, GA 30040-6620
(770) 475-4437
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
001433
GA
Other
Enumeration date
11/17/2006
Last updated
07/08/2007
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