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Matthew Charles Revilla

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NPI Number Detailed Information

Provider Information:

Name: Matthew Charles Revilla
Gender: M
Provider License Number If Given: 9684

NPI Information:

NPI: 1821617036
Entity Type
(Individual or Organization):
1-ind
Enumeration Date: 4/9/2020

Last Update Date: 8/27/2021

Provider Business Mailing Address:

Address: 643 MAIN ST
Palmetto, GA 30268
Phone Number: 4049298824
Fax Number:

Provider Business Practice Location Address:

Address: 507 PARK ST
Palmetto, GA 30268
Phone Number: 7704634644
Fax Number:

Provider Taxonomy:

Primary: 207QA0505X
Secondary (if any): 363A00000X
State: GA

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About Matthew Charles Revilla

Matthew Charles Revilla ( MATTHEW CHARLES REVILLA ) is Definition Family Medicine Physician in Palmetto, GA. The NPI Number for Matthew Charles Revilla is 1821617036.
The current location address for Matthew Charles Revilla is 507 PARK ST Palmetto, GA 30268 and the contact number is 4049298824 and fax number is . The mailing address for Matthew Charles Revilla is 643 MAIN ST Palmetto, GA 30268- 7704634644 (mailing address contact number - 4049298824).
Definition to come.

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FAQs:

What is the NPI Number for Matthew Charles Revilla ?


Answer: The NPI Number for Matthew Charles Revilla is 1821617036

Where is Matthew Charles Revilla located?


Answer: Matthew Charles Revilla is located at 507 PARK ST Palmetto, GA 30268.

What is the specialty for Matthew Charles Revilla ?


Answer: The Specialty of Matthew Charles Revilla is Definition Family Medicine Physician.

Are there any online reviews for Matthew Charles Revilla ?


Answer: Not yet!

Are there any other health care providers in Palmetto, GA?


Answer: Yes, there are given below...

More Providers in Palmetto , GA

Southern Crescent Pharmacy Inc
Pharmacy
NPI Number: 1720037955
Address: 405 CARLTON RD Palmetto, GA 30268 , Phone: 7704634031
Southern Occupational Therapy Services, Inc.
Occupational Therapist
NPI Number: 1104877117
Address: 9800 HUTCHESON FERRY RD Palmetto, GA 30268 , Phone: 7704010296
Joanne E. Williams
Family Medicine Physician
NPI Number: 1437251923
Address: 643 MAIN ST Palmetto, GA 30268 , Phone: 4049298824
Palmetto Health Council Inc
Family Medicine Physician
NPI Number: 1740372473
Address: 643 MAIN ST Palmetto, GA 30268 , Phone: 4049298824
Carolyn E Johnson
Registered Nurse
NPI Number: 1548333115
Address: 507 PARK STREET Palmetto, GA 30268 , Phone: 7704633307
Angela P. Shannon
Psychiatry Physician
NPI Number: 1285707455
Address: 507 PARK ST Palmetto, GA 30268 , Phone: 7704634644
Dr. Gary Lane Watts
General Practice Dentistry
NPI Number: 1386710796
Address: 501 PARK ST Palmetto, GA 30268 , Phone: 7704634541
Ms. Isabel Maria Soles
Physician Assistant
NPI Number: 1699843953
Address: 643 MAIN ST Palmetto, GA 30268 , Phone: 4049298824
Dr. Milanieva Latorre
Family Medicine Physician
NPI Number: 1609944917
Address: 643 MAIN ST Palmetto, GA 30268 , Phone: 4049298824
Dr. Tara Deshun Miller
Professional Counselor
NPI Number: 1316077738
Address: 619 MAIN ST Palmetto, GA 30268 , Phone: 7707038502
Gary L. Watts Dmd Pc
General Practice Dentistry
NPI Number: 1760507255
Address: 501 PARK ST Palmetto, GA 30268 , Phone: 7704634541
Dr. Nasser Issa Fiqia
Dentist
NPI Number: 1942424221
Address: 643 MAIN ST Palmetto, GA 30268 , Phone: 7704634644
Dr. Frederick Moore
General Practice Dentistry
NPI Number: 1215157060
Address: 643 MAIN ST Palmetto, GA 30268 , Phone: 7704634644
Georgia Baptist Children'S Homes And Family Ministries, Inc.
Community/Behavioral Health Agency
NPI Number: 1477752475
Address: 9250 HUTCHESON FERRY RD Palmetto, GA 30268 , Phone: 7704633344
Nra-Palmetto, Georgia, Llc
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
NPI Number: 1760681506
Address: 500 WALNUT WAY Palmetto, GA 30268 , Phone: 7704631442
Georgia Baptist Children'S Homes And Family Ministries, Inc.
Community/Behavioral Health Agency
NPI Number: 1033301627
Address: 505 WATER WORKS RD Palmetto, GA 30268 , Phone: 7704633800
Ms. Trina L. Hammonds
Professional Counselor
NPI Number: 1184818726
Address: 619 MAIN ST Palmetto, GA 30268 , Phone: 4043696136
Dr. Jacqueline D Harris
Family Medicine Physician
NPI Number: 1073771762
Address: 815 WELDON RD Palmetto, GA 30268 , Phone: 6785931900

Matthew Charles Revilla in Other Directories

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