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NPI Code Detail

MEDICARE: MRS. EGLEE JOSEFINA TREBER MED

MEDICARE:  MRS. EGLEE JOSEFINA TREBER  MED
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101Y00000XCounselor2124GA

General Provider Information

NPI Number : 1285822874
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. EGLEE JOSEFINA TREBER MED
Provider Business Mailing Address
First Line : 5825 GLENRIDGE DR
Second Line : BUILDING 3-SUITE 101
City : SANDY SPRINGS
State : GA
Zip : 30328-5387
Country : US
Telephone Number : 404-421-8650
Fax Number :
Provider Business Practice Location Address
First Line : 2470 WINDY HILL RD SE
Second Line : SUITE #366A
City : MARIETTA
State : GA
Zip : 30067-8613
Country : US
Telephone Number : 404-421-8650
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/09/2007
Last Update Date : 02/12/2015

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Directions to “ MRS. EGLEE JOSEFINA TREBER MED” Practice Location

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