Individual
SADIK N HABA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1301 SIGMAN RD NE, STE 100, CONYERS, GA 30012-3812
(770) 760-9360
Mailing address
1301 SIGMAN RD NE, STE 100, CONYERS, GA 30012-3812
(770) 760-9360
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
230715
MA
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
67225
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
067225
LICENSE
GA
Enumeration date
01/03/2007
Last updated
06/11/2013
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