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NPI Code Detail

MEDICARE: DR. SHARON R RABINOVITZ MD

MEDICARE:  DR. SHARON R RABINOVITZ  MD
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
1207Q00000XFamily Medicine Physician046806GA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1639178841
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. SHARON R RABINOVITZ MD
Provider Business Mailing Address
First Line : 1000 CORPORATE CENTER DR
Second Line : SUITE 200
City : MORROW
State : GA
Zip : 30260-4180
Country : US
Telephone Number : 770-968-6464
Fax Number : 770-968-6455
Provider Business Practice Location Address
First Line : 1000 CORPORATE CENTER DR
Second Line : SUITE 200
City : MORROW
State : GA
Zip : 30260-4180
Country : US
Telephone Number : 770-968-6464
Fax Number : 770-968-6455
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/19/2005
Last Update Date : 03/16/2009

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Directions to “ DR. SHARON R RABINOVITZ MD” Practice Location

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