Corwin Oswald Demattos

NPI #1720617756 in Grayson, Georgia

Provider Information

NPI Number
1720617756
Entity Type
Individual
Name
Corwin Oswald Demattos
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Nurse Practitioner - Family
Enumeration Date
Apr 2, 2020
Last Updated
Dec 2, 2021

Practice Location

Address
1637 ATLANTA HWY SUITE A
State
Georgia
ZIP Code
30017-3001
Phone
(678) 344-8268

Specialties & Taxonomy Codes

Specialty
Nurse Practitioner - FamilyFamily

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