Organization
AMELIA MEDICAL SERVICES, LLC
Active
Parent organization
AMELIA MEDICAL SERVICES, LLC
Other names
Amelia Medical Care, Kingsland
Organization subpart
Yes
Provider details
NPI number
Legal business name
AMELIA MEDICAL SERVICES, LLC
Authorized official
DR. DANIEL J. MATRICIA D.O. (OWNER)
(912) 729-2821
Entity
Organization
Contact information
Practice address
1481 HWY 40 E, KINGSLAND, GA 31548-6507
(912) 729-2821
(912) 729-2823
Mailing address
1481 HWY 40 E, KINGSLAND, GA 31548-6507
(912) 729-2821
(912) 729-2823
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
031289
GA
261QU0200X
Urgent Care Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
031289
GA MEDICAL LICENSE
GA
01
—
1912972530
NPI - MATRICIA
GA
Enumeration date
08/27/2010
Last updated
03/07/2023
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