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Individual

DAVID R. HABURCHAK

Active
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Individual

DAVID R. HABURCHAK

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
30081
GA
207RI0200X
Infectious Disease Physician
030081
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
000576045A
GA
05
G30081
SC
Enumeration date
08/30/2006
Last updated
01/30/2019
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