Individual
JEFFREY W RUBIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
240 HERITAGE WALK, SUITE 101, WOODSTOCK, GA 30188-3875
(770) 516-7880
(770) 516-7870
Mailing address
240 HERITAGE WALK, SUITE 101, WOODSTOCK, GA 30188-3875
(770) 516-7880
(770) 516-7870
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
030873
GA
207LP2900X
Pain Medicine (Anesthesiology) Physician
030873
GA
208VP0014X
Interventional Pain Medicine Physician
Primary
030873
GA
Other
Enumeration date
02/01/2007
Last updated
07/08/2025
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