Healthcare Provider Details

I. General information

NPI: 1932022340
Provider Name (Legal Business Name): MAHER SABALBAL MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/03/2026
Last Update Date: 08/03/2026
Certification Date: 08/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

575 1ST ST
MACON GA
31201-2825
US

IV. Provider business mailing address

575 1ST ST
MACON GA
31201-2825
US

V. Phone/Fax

Practice location:
  • Phone: 478-743-9762
  • Fax:
Mailing address:
  • Phone: 478-743-9762
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2085R0204X
TaxonomyVascular & Interventional Radiology Physician
License Number113423
License Number StateGA
# 2
Primary TaxonomyY
Taxonomy Code2086S0129X
TaxonomyVascular Surgery Physician
License Number113423
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: