Individual
MAXWELL RUBIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
5145 SUGARLOAF PLWY, LAWRENCEVILLE, GA 30043
(470) 257-7005
Mailing address
5415 SUGARLOAF PKWY STE 2203, LAWRENCEVILLE, GA 30043-7832
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
—
GA
171W00000X
Contractor
—
—
Other
Enumeration date
09/25/2024
Last updated
09/25/2024
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