Individual
MR. JUSTIN BERNARDO HUBBARTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
1968 PEACHTREE RD NW, ATLANTA, GA 30309-1281
(404) 605-2800
(404) 351-5983
Mailing address
275 COLLIER RD NW, SUITE 500, ATLANTA, GA 30309-1709
(404) 605-2800
(404) 351-5983
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
5765
GA
363AM0700X
Medical Physician Assistant
Primary
005765
GA
Other
Enumeration date
02/16/2010
Last updated
05/15/2012
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