K-MATA LLC

TUCKER, GA
NPI1790655108
Entity TypeOrganization
Authorized ContactBYRON OSWALDO MATA GONZALEZ
President
770-718-1517
Organization Subpart ?No
Primary Taxonomy207Q00000X Family Medicine
Enumeration Date2025-11-10
Last Update Date2025-11-10
Business Address
K-MATA LLC
4292 CHAMBLEE TUCKER RD
TUCKER, GA 30084-2103
Phone number: 770-718-1517
Mailing Address
K-MATA LLC
3899 GRASSLAND LOOP
LAKE MARY, FL 32746-4120
Phone number: 770-718-1517
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