Dr. Angela Feazel Mattke
Emergency Medical Services
1412 Milstead Ave Ne
Conyers
, Georgia 30012-3877
Dr. Angela Feazel Mattke
Emergency Medical Services
1412 Milstead Ave Ne
Conyers
, Georgia 30012-3877
(770) 994-4747
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About
Features
Specialties
- Emergency Medical Services
Languages spoken
- English
Location
First Address
- Dr. Angela Feazel Mattke
- 1745 Phoenix Blvd Suite 100
- Atlanta, GA
- Zip : 30349-5591
- Fax : (770) 994-4747
- Phone : (770) 994-9326
Second Address
- Dr. Angela Feazel Mattke
- 1412 Milstead Ave Ne
- Conyers, GA
- Zip : 30012-3877
- Fax : (770) 994-4747
- Phone : (770) 994-9326
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207PE0004X | Emergency Medical Services | 057540 | GA |
National Provider Identifier
| NPI | 1083672786 |
|---|---|
| Provider Name | Dr. Angela Feazel Mattke |
| First Address | Atlanta, GA 30349-5591 |
| Second Address | Conyers, GA 30012-3877 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 02/05/2006 |
| Last Update Date | 08/07/2007 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.