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Organization
PABS UNLIMITED, INC
Active
Organization
PABS UNLIMITED, INC
Active
Other names
PABS FamilyCounselng and Intervention Services
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DWIGHT ALONZO PORTER L.P.C., ED.S. (THERAPIST)
(770) 969-4309
Entity
Organization
Contact information
Practice address
4405 MALL BLVD STE 200, UNION CITY, GA 30291-2071
(770) 969-4309
(770) 969-4170
Mailing address
4405 MALL BLVD STE 200, UNION CITY, GA 30291-2071
(770) 969-4309
(770) 969-4170
Taxonomy
Speciality
Code
Description
License number
State
302F00000X
Exclusive Provider Organization
Primary
006366
GA
Other
Enumeration date
07/15/2013
Last updated
07/15/2013
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