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1295224228
SAMANTHA NIEVES MATTOX
AUGUSTA, GA
NPI
1295224228
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology
(Licence: GA 009849)
Enumeration Date
2018-05-04
Last Update Date
2018-05-04
Business Address
SAMANTHA NIEVES MATTOX DO
1120 15TH ST
AUGUSTA, GA 30912-0004
Phone number: 706-721-7005
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Mailing Address
SAMANTHA NIEVES MATTOX DO
1120 15TH ST
AUGUSTA, GA 30912-0004
Phone number:
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