Organization
MY MATRIX, INCORPORATED
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. FELICIA MOSES (PEER SPECIALIST)
(770) 407-9288
Entity
Organization
Contact information
Practice address
2640 MARTIN LUTHER KING JR DR SW, ATLANTA, GA 30311-6101
(770) 407-9288
Mailing address
PO BOX 20287, ATLANTA, GA 30325-0287
Taxonomy
Speciality
Code
Description
License number
State
302F00000X
Exclusive Provider Organization
Primary
—
—
Other
Enumeration date
08/23/2014
Last updated
08/23/2014
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