Individual
LARRY TUFANI MABINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
7914 HIGHWAY 92, STE 130, WOODSTOCK, GA 30189-5238
(770) 924-8438
(770) 924-8431
Mailing address
7914 HIGHWAY 92, STE 130, WOODSTOCK, GA 30189-5238
(770) 924-8438
(770) 924-8431
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
053994
GA
208VP0000X
Pain Medicine Physician
Primary
053994
GA
Other
Enumeration date
07/04/2006
Last updated
11/21/2013
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