Individual
JOSEPH SEBASTIAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2908 BUSINESS 27, BUCHANAN, GA 30113-4857
(770) 646-8281
Mailing address
2908 BUSINESS 27, BUCHANAN, GA 30113-4857
(770) 646-8281
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
35.141622
OH
207Q00000X
Family Medicine Physician
98309
GA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/03/2018
Last updated
06/14/2024
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