Crawley-Mataosky, Debra L

Crawley-Mataosky, Debra L is an individual health care provider with primary practice located at 316 N Main St , Swainsboro GA 30401-3535. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Crawley-Mataosky, Debra L can be contacted via phone (478) 237-2638.

Contact Information

Primary practice address
316 N Main St Swainsboro GA 30401-3535
Phone: (478) 237-2638
Fax: (478) 237-9138
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 033573 Georgia

Profile Details

NPI number 1467445593
LBN Legal business name Crawley-Mataosky, Debra L
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 24th, 2005
Last updated Nov 7th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1467445593 NPPES
Georgia Other 111814 UGS-WARRENTON
Georgia Other 111889 UGS-WARRENTON
Georgia Other 08BDFLS UGS-WARRENTON
Georgia Other 111811 UGS-WARRENTON
Georgia Other 111830 UGS-WARRENTON
Georgia Other 111812 UGS-WARRENTON
Georgia Other 111813 UGS-WARRENTON
Georgia Other 111887 UGS-WARRENTON

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