# GUTHRIE MEDICAL GROUP, P.C,

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Guthrie Clinic, Ltd.
- **Organization subpart:** No

## Provider details

- **NPI number:** 1164471652
- **Authorized official:** DR. EDWARD SABANEGH M.D. (PRESIDENT)
- **Authorized official phone:** (570) 888-5858

## Contact information

- **Practice address:** 5950 SR 6 STE 101, TUNKHANNOCK, PA 18657-7905
- **Practice address phone:** (570) 836-4294
- **Practice address fax:** (570) 964-9073
- **Mailing address:** 1 GUTHRIE SQ, SAYRE, PA 18840-1625
- **Mailing address phone:** (570) 888-5858

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |
| 291U00000X | Clinical Medical Laboratory | — | NULL | — |

## Other

- **Enumeration date:** 05/10/2006
- **Last updated:** 11/30/2023

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | GU631604 | HIGHMARK BLUE SHIELD | PA |