Organization
SJ&J SPINE AND PAIN GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SALLU MOHAMED JABATI MD (DIRECTOR/PHYSICIAN)
(678) 697-0199
Entity
Organization
Contact information
Practice address
5959 HIGHWAY 53 W, SUITE 100B, DAWSONVILLE, GA 30534
(678) 697-0199
Mailing address
5959 HIGHWAY 53 W, SUITE 100B, DAWSONVILLE, GA 30534
(678) 697-0199
Taxonomy
Speciality
Code
Description
License number
State
208VP0014X
Interventional Pain Medicine Physician
Primary
058527
GA
Other
Enumeration date
11/04/2009
Last updated
11/08/2009
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