Individual provider · Type 1 NPI

Matthew Charles Revilla, PA-C

Physician Assistant · Palmetto, GA

NPI number 1821617036 Active

Practice location

507 Park St
Palmetto, GA 30268-1007

Mailing address

643 Main St
Palmetto, GA 30268-1138

Other practice locations

  • 2584 Patrick Ct SE, Atlanta, GA 30317-3023 · (252) 414-8145

Specialties and licenses

TaxonomyCodeLicense
Adult Medicine Physician 207QA0505X9684 (GA)
Physician Assistant Primary 363A00000X9684 (GA)

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

3 other providers at this address

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About NPI 1821617036

Matthew Charles Revilla, PA-C's National Provider Identifier is 1821617036, issued on Apr 9, 2020. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Palmetto, GA. The record was last updated on Aug 27, 2021.