Individual provider · Type 1 NPI
Mitchell Jablow
Specialist · Marietta, GA
NPI number
1235569401
Active
Practice location
3641 Clubland Dr
Marietta, GA 30068-4003
Fax (770) 971-2996
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Specialist Primary | 174400000X | 13399 (GA) |
Specialist: 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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About NPI 1235569401
Mitchell Jablow's National Provider Identifier is 1235569401, issued on Nov 25, 2013. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Marietta, GA. The record was last updated on Nov 25, 2013.