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Individual

JAMES B LABUS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
P.A.

Contact information

Practice address
1000 JOHNSON FERRY RD NE, ATLANTA, GA 30342-1606
(770) 645-9181
(770) 645-8455
Mailing address
3155 N POINT PKWY, ATTN: CREDENTIALING DEPT., BUILDING F, SUITE 100, ALPHARETTA, GA 30005
(770) 645-9181
(770) 645-8455

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
001971
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
653962746A
GA
05
653962746B
GA
05
653962746C
GA
Enumeration date
06/28/2006
Last updated
03/03/2015
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