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Individual

JORGE PABIA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
100 SOUTHERN WAY STE 200, COLUMBUS, GA 31904-9204
(706) 324-1934
Mailing address
2007 LANDAU DR, PHENIX CITY, AL 36867-2121
(334) 487-7472

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
005108
LICENSE#
GA
Enumeration date
11/07/2006
Last updated
12/04/2013
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