1205008489 NPI number — RICHARD MATTISON, MD LLC

Table of Contents

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1205008489 NPI number — RICHARD MATTISON, MD LLC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
RICHARD MATTISON, MD LLC
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
6
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1205008489
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
07/01/2008
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
3833 ROSWELL RD NE
Provider Second Line Business Mailing Address:
SUITE #116
Provider Business Mailing Address City Name:
ATLANTA
Provider Business Mailing Address State Name:
GA
Provider Business Mailing Address Postal Code:
30342-4432
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
404-812-0211
Provider Business Mailing Address Fax Number:
404-812-9011

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
3833 ROSWELL RD NE
Provider Second Line Business Practice Location Address:
SUITE #116
Provider Business Practice Location Address City Name:
ATLANTA
Provider Business Practice Location Address State Name:
GA
Provider Business Practice Location Address Postal Code:
30342-4432
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
404-812-0211
Provider Business Practice Location Address Fax Number:
404-812-9011
Provider Enumeration Date:
03/28/2008

Additional Information

Authorized Official

Authorized Official Last Name:
MATTISON
Authorized Official First Name:
RICHARD
Authorized Official Middle Name:
CRAWFORD
Authorized Official Title or Position:
OWNER
Authorized Official Telephone Number:
404-812-0211

Provider Taxonomy Codes

  • Taxonomy code: 174400000X , with the licence number:  011627 , registered in the state of GA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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