# BRUCE J SABIN MD PC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** BRUCE J SABIN MD
- **Organization subpart:** No

## Provider details

- **NPI number:** 1477657427
- **Authorized official:** BRUCE SABIN (OWNER)
- **Authorized official phone:** (770) 979-8022

## Contact information

- **Practice address:** 1790 PRESIDENTIAL CIR, STE C, SNELLVILLE, GA 30078-5688
- **Practice address phone:** (770) 979-8022
- **Practice address fax:** (770) 979-1098
- **Mailing address:** 1790 PRESIDENTIAL CIR, STE C, SNELLVILLE, GA 30078-5688

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332900000X | Non-Pharmacy Dispensing Site | 031113 | GA | Yes |

## Other

- **Enumeration date:** 09/12/2006
- **Last updated:** 08/22/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 1150375 | OTHER ID NUMBER-COMMERCIAL NUMBER | — |