OrganizationActive
B Mata LLC
NPI 1295366292 · Geriatric Medicine (Family Medicine) Physician · Gainesville, GA
Provider details
- NPI number
- 1295366292
- Entity type
- Organization
- Primary specialty
- Geriatric Medicine (Family Medicine) PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Byron Mata Gonzalez, Owner(786) 427-4450
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
1631 Atlanta Hwy
Gainesville, GA 30504-5942
Phone: (770) 718-1517
Fax: (770) 718-1518
Approximate (ZIP-level) locationGet directions
Mailing address
1631 Atlanta Hwy
Gainesville, GA 30504-5942
Other names (DBA / former)
- Doing business as
- Centro Medico San Lucas
Additional practice locations (1)
- 4292 Chamblee Tucker RdTucker, GA 30084-2103Phone: (770) 718-1517Fax: (770) 718-1518
Registry dates
- Enumerated
- 2020-01-28
- Last updated
- 2020-01-28
- Certified
- 2020-01-28
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.