| Pro Health And Rehab Llc | |
|
2453 Powder Springs Rd Sw Suite 215 Marietta GA 30064-4570 | |
| (678) 567-2313 | |
| (855) 771-9101 |
| Full Name | Pro Health And Rehab Llc |
|---|---|
| Speciality | Chiropractor |
| Location | 2453 Powder Springs Rd Sw, Marietta, Georgia |
| Authorized Official Name and Position | Stefan Charles G Saboura (OWNER/ PROVIDER) |
| Authorized Official Contact | 6785672313 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Pro Health And Rehab Llc 2453 Powder Springs Rd Sw Suite 215 Marietta GA 30064-4570 Ph: (678) 567-2313 | Pro Health And Rehab Llc 2453 Powder Springs Rd Sw Suite 215 Marietta GA 30064-4570 Ph: (678) 567-2313 |
| NPI Number | 1982887543 |
|---|---|
| Provider Enumeration Date | 12/06/2007 |
| Last Update Date | 12/13/2023 |
| Medicare PECOS PAC ID | 5496901019 |
|---|---|
| Medicare Enrollment ID | O20120813000837 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982887543 | NPI | - | NPPES |
| Provider Name | Stefan-charles G Saboura |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1649349952 PECOS PAC ID: 7719972256 Enrollment ID: I20040415000699 |
| Provider Name | Anitra D. Patterson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619397650 PECOS PAC ID: 3870718042 Enrollment ID: I20140701001541 |
| Provider Name | Oscar Gutierrez |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1578104931 PECOS PAC ID: 0840627998 Enrollment ID: I20200302000979 |
| Provider Name | Yadiel Bello Roman |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1922756725 PECOS PAC ID: 8426444639 Enrollment ID: I20220414001638 |
| Provider Name | Elizabeth A Aliaga |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1225818586 PECOS PAC ID: 7315255825 Enrollment ID: I20240102003066 |
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