Doctor Name: | DR. FRANK MATALONE |
NPI Number: | 1073739249 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | D.O. |
License Number: | 038861 |
Business Practice Address: | 4646 N Shallowford Rd Atlanta, GA - 303386304 |
Business Phone Number: | 7706766000 |
Business Fax Number: | 7703929805 |
Mailing Address: | 4646 N Shallowford Rd, ATLANTA |
State: | GA |
Postal Code: | 303386304 |
Phone Number: | 7706766000 |
Fax Number: | 7703929805 |
NPI Enumeration Date: | 04/17/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | 038861 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | GA |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |