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1356797666
MAT GEORGIA, LLC
MARIETTA, GA
NPI
1356797666
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Entity Type
Organization
Authorized Contact
VICTOR ALFONSO
CEO
818-212-4659
Organization Subpart ?
No
Primary Taxonomy
207RA0401X Internal Medicine, Addiction Medicine
Enumeration Date
2016-05-05
Last Update Date
2016-05-05
Business Address
MAT GEORGIA, LLC
335 ROSELANE ST NW SUITE 203
MARIETTA, GA 30060-7902
Phone number: 818-212-4659
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Mailing Address
MAT GEORGIA, LLC
1290 KENNESTONE CIR SUITE A112
MARIETTA, GA 30066-6009
Phone number:
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