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Individual

ALAN M HARBEN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.,PHD

Contact information

Practice address
11775 POINTE PLACE, SUITE 103, ROSWELL, GA 30076-4652
(770) 619-0010
(770) 664-6511
Mailing address
11775 POINTE PL, SUITE 103, ROSWELL, GA 30076-4655
(770) 619-0010
(770) 664-6511

Taxonomy

Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
029664
GA
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
11/14/2007
Last updated
12/22/2010
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