Organization
ALAN M HARBEN MD PHD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TRISHA MOORE (PRACTICE MANAGER)
(770) 619-0010
Entity
Organization
Contact information
Practice address
11775 POINTE PL, SUITE 103, ROSWELL, GA 30076-4636
(770) 619-0010
(770) 664-6511
Mailing address
PO BOX 724928, ATLANTA, GA 31139-9028
(678) 838-1585
(678) 838-1587
Taxonomy
Speciality
Code
Description
License number
State
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
Primary
029664
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00349137C
—
GA
05
—
00349137I
—
GA
Enumeration date
05/16/2006
Last updated
08/24/2007
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