K-Mata LLC

NPI #1790655108 in Tucker, Georgia

Provider Information

NPI Number: 1790655108
Entity Type: Organization
Organization Name: K-Mata LLC
Primary Specialty: Family Medicine
Enumeration Date: Nov 10, 2025
Last Updated: Nov 10, 2025

Practice Location

Address: 4292 CHAMBLEE TUCKER RD
City: Tucker
State: Georgia
ZIP Code: 30084-2103
Phone: (770) 718-1517

Authorized Official

Name: BYRON OSWALDO MATA GONZALEZ, MD
Title: PRESIDENT
Phone: (770) 718-1517

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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