Individual provider · Type 1 NPI
Corwin Oswald Demattos
Family Nurse Practitioner · Grayson, GA
NPI number
1720617756
Active
Practice location
1637 Atlanta Hwy Suite A
Grayson, GA 30017-3001
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | 189365 (GA) |
Family Nurse Practitioner: Definition to come...
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About NPI 1720617756
Corwin Oswald Demattos's National Provider Identifier is 1720617756, issued on Apr 2, 2020. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Grayson, GA. The record was last updated on Dec 2, 2021.