Organization
BRUCE J SABIN MD PC
Active
Other names
BRUCE J SABIN MD
Organization subpart
No
Provider details
NPI number
Authorized official
BRUCE SABIN (OWNER)
(770) 979-8022
Entity
Organization
Contact information
Practice address
1790 PRESIDENTIAL CIR, STE C, SNELLVILLE, GA 30078-5688
(770) 979-8022
(770) 979-1098
Mailing address
1790 PRESIDENTIAL CIR, STE C, SNELLVILLE, GA 30078-5688
Taxonomy
Speciality
Code
Description
License number
State
332900000X
Non-Pharmacy Dispensing Site
Primary
031113
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1150375
OTHER ID NUMBER-COMMERCIAL NUMBER
—
Enumeration date
09/12/2006
Last updated
08/22/2020
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