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NPI Code Detail

MEDICARE: JANJA MATIC MD

MEDICARE:   JANJA  MATIC  MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207R00000XInternal Medicine PhysicianU2565TX

General Provider Information

NPI Number : 1336648757
Entity Type Code : Individual
Provider Name (Legal Business Name) : JANJA MATIC MD
Provider Business Mailing Address
First Line : 730 COOL SPRINGS BLVD STE 500
Second Line :
City : FRANKLIN
State : TN
Zip : 37067-7331
Country : US
Telephone Number : 773-292-4800
Fax Number : 312-564-4059
Provider Business Practice Location Address
First Line : 320 DECKER DR
Second Line :
City : IRVING
State : TX
Zip : 75062-3999
Country : US
Telephone Number : 773-292-4800
Fax Number : 312-564-4059
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/12/2018
Last Update Date : 03/22/2024

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Directions to “ JANJA MATIC MD” Practice Location

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