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Individual

NATHANAEL SBRAVATI

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
2000 PEPPERELL PKWY, OPELIKA, AL 36801-5452
(334) 528-2663
Mailing address
2000 PEPPERELL PKWY, OPELIKA, AL 36801-5452
(334) 528-2663

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
MD.37899
AL
207X00000X
Orthopaedic Surgery Physician
MD87236
SC
390200000X
Student in an Organized Health Care Education/Training Program

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
PENDING
SC
Enumeration date
03/28/2017
Last updated
09/27/2024
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