CORWIN OSWALD DEMATTOS

GRAYSON, GA
NPI1720617756
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: GA  189365)
Enumeration Date2020-04-02
Last Update Date2021-12-02
Business Address
CORWIN OSWALD DEMATTOS
1637 ATLANTA HWY SUITE A
GRAYSON, GA 30017-3001
Phone number: 678-344-8268
Mailing Address
CORWIN OSWALD DEMATTOS
1637 ATLANTA HWY SUITE A
GRAYSON, GA 30017-5942
Phone number: 678-344-8268
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