Individual
MATTHEW TRAWICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1870 CHATTAHOOCHEE RUN DR, SUWANEE, GA 30024-8362
(678) 333-8677
Mailing address
1870 CHATTAHOOCHEE RUN DR, SUWANEE, GA 30024-8362
(678) 333-8677
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
1912607888
GA
363A00000X
Physician Assistant
Primary
11785
GA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/08/2023
Last updated
08/11/2023
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