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Organization
PRO HEALTH AND REHAB LLC
Active
Organization
PRO HEALTH AND REHAB LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEFAN CHARLES G SABOURA DC (OWNER/ PROVIDER)
(678) 567-2313
Entity
Organization
Contact information
Practice address
2453 POWDER SPRINGS RD SW, SUITE 215, MARIETTA, GA 30064-4570
(678) 567-2313
(855) 771-9101
Mailing address
2453 POWDER SPRINGS RD SW, SUITE 215, MARIETTA, GA 30064-4570
(678) 567-2313
(855) 771-9101
Taxonomy
Speciality
Code
Description
License number
State
111NR0400X
Rehabilitation Chiropractor
Primary
CHIR006384
GA
207Q00000X
Family Medicine Physician
39009
GA
2083P0500X
Preventive Medicine/Occupational Environmental Medicine Physician
68404
GA
363LP2300X
Primary Care Nurse Practitioner
RN191854
GA
Other
Enumeration date
12/06/2007
Last updated
12/13/2023
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