Individual
SEBASTIAN O HUBBUCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2300 MANCHESTER EXPY, STE 1003, COLUMBUS, GA 31904-6877
(706) 565-7382
(706) 565-9110
Mailing address
PO BOX 9265, COLUMBUS, GA 31908-9265
(706) 565-7382
(706) 565-9110
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
23990
GA
207RI0011X
Interventional Cardiology Physician
Primary
023990
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000390684J
—
GA
05
—
142202
—
AL
Enumeration date
06/28/2005
Last updated
12/23/2021
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