# PRO HEALTH AND REHAB LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1982887543
- **Authorized official:** STEFAN CHARLES G SABOURA DC (OWNER/ PROVIDER)
- **Authorized official phone:** (678) 567-2313

## Contact information

- **Practice address:** 2453 POWDER SPRINGS RD SW, SUITE 215, MARIETTA, GA 30064-4570
- **Practice address phone:** (678) 567-2313
- **Practice address fax:** (855) 771-9101
- **Mailing address:** 2453 POWDER SPRINGS RD SW, SUITE 215, MARIETTA, GA 30064-4570
- **Mailing address phone:** (678) 567-2313
- **Mailing address fax:** (855) 771-9101

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 111NR0400X | Rehabilitation Chiropractor | CHIR006384 | GA | Yes |
| 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