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Dr. Mitchell Jablow
Specialist in Marietta, Georgia
NPI 1235569401

Mitchell Jablow is a Specialist based in Marietta, GA. Mitchell Jablow practices in Marietta, GA. The NPI Number for Mitchell Jablow is 1235569401 and holds a License No. 13399 (Georgia).

The current practice location address for Mitchell Jablow is 3641 Clubland Dr, Marietta, GA and can be reached out via phone at 770-757-3220 and via fax at 770-971-2996.

Location: 3641 Clubland Dr, Marietta, GA, 30068-4003
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1235569401
Provider Name
Mitchell Jablow
Credential
Provider Entity Type
Individual
Gender
Male
Address
3641 Clubland Dr, Marietta, GA, 30068-4003
Phone Number
770-757-3220
Fax Number
770-971-2996
Provider Enumeration Date
11/25/2013
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
13399 01 GA STATE OF GA MEDICAL BOARD
institution
Provider Business Practice Location Address Details
Address
3641 Clubland Dr
City
Marietta
State
Georgia
Zip
30068-4003
Phone Number
770-757-3220
Fax Number
770-971-2996
person
Provider Business Mailing Address Details
Address
3641 Clubland Dr
City
Marietta
State
Georgia
Zip
30068-4003
Phone Number
770-757-3220
Fax Number
770-971-2996
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
13399 (Georgia)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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