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1568094951
MARIAM BASIL MATI
DECATUR, GA
NPI
1568094951
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
207QG0300X Family Medicine, Geriatric Medicine
(Licence: GA 89811)
Enumeration Date
2020-02-04
Last Update Date
2021-08-30
Business Address
MARIAM BASIL MATI MD
2675 N DECATUR RD
DECATUR, GA 30033-6131
Phone number: 404-501-2900
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Mailing Address
MARIAM BASIL MATI MD
2675 N DECATUR RD
DECATUR, GA 30033-6131
Phone number: 404-501-2900
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