Individual provider · Type 1 NPI

Almea M. Matanock, MD

Student in an Organized Health Care Education/Training Program · Atlanta, GA

NPI number 1770727067 Active

Practice location

1600 Clifton Rd NE, Ms A 38
Atlanta, GA 30329-4018

Mailing address

1264 N Morningside Dr NE, Apt B
Atlanta, GA 30306-3335

Specialties and licenses

TaxonomyCodeLicense
Pediatrics Physician 208000000X0101252122 (VA)
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1770727067

Almea M. Matanock, MD's National Provider Identifier is 1770727067, issued on Apr 30, 2009. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Atlanta, GA. The record was last updated on May 11, 2015.