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B MATA LLC NPI 1295366292


NPI Information

NPI: 1295366292
Provider Name: B MATA LLC
Classification: Family Medicine - 207QG0300X
Entity Type: Organization

Specialization: Geriatric Medicine

Address:
1631 ATLANTA HWY
GAINESVILLE, GA
ZIP 30504
Phone: (770) 718-1517
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B MATA LLC is a geriatric medicine family medicine in Gainesville, GA. The provider is a family medicine physician with special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes, and the hospital. B MATA LLC NPI is 1295366292. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1631 ATLANTA HWY
GAINESVILLE, GA
ZIP 30504-942
Phone: (770) 718-1517
Fax: (770) 718-1518

The provider's authorized official is Byron Oswaldo Mata Gonzalez .
The authorized official title is Owner and has the following contact phone number (786) 427-4450.

The enumeration date for this NPI number is 1/28/2020 and was last updated on 1/28/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207QG0300XFamily MedicineGeriatric MedicineYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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