Individual
MRS. HALLIE ARIEL RUBIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
2150 PEACHFORD RD STE Q, ATLANTA, GA 30338-6539
(678) 615-7032
Mailing address
4546 BARCLAY DR, ATLANTA, GA 30338-7147
(770) 457-7994
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
9325
GA
363AM0700X
Medical Physician Assistant
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/23/2019
Last updated
03/05/2024
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