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DR. SABA V BEJANISHVILI MD

Neurology >> Psychiatry & Neurology >> Allopathic & Osteopathic Physicians

Registrant NPI Number: 1659341303

Individual Registrant:
DR. SABA V BEJANISHVILI MD
Gender: M
Not Sole Proprietor

Location and contact information for practice:
4460 AUSTELL RD  AUSTELL, GA 30106-1844 US
Tel: 770-941-4716  Fax: 770-941-3047

Contact information for business:
3875 AUSTELL RD STE 204 AUSTELL, GA 30106-1103 US
Tel: 770-819-1717  Fax: 770-819-1140

Registration Information:
NPI: 1659341303
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y2084N0400XAllopathic & Osteopathic Physicians
Psychiatry & Neurology
Neurology
GA052143

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType
RR MEDICAREP0021840801
432250739CGA05




HEALTH CARE JOBS GA - Page 1



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