Joseph Sebastian, MD
Family Medicine in Buchanan, GA. Individual provider (NPI-1).
NPI number1992201495
StatusActive
Last updated in NPPESJun 14, 2024
Details
- NPI
- 1992201495
- Entity type
- Individual (NPI-1)
- Name
- Joseph Sebastian
- Credential
- MD
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Apr 3, 2018
- Certification date
- Jun 14, 2024
- Last updated
- Jun 14, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | 35.141622 | OH | Yes |
| 207Q00000X | Family Medicine | 98309 | GA | |
| 390200000X | Student in an Organized Health Care Education/Training Program | – | – |
Practice location
2908 Business 27Buchanan, GA 30113-4857
Phone 770-646-8281
Mailing address
2908 Business 27Buchanan, GA 30113-4857
Phone 770-646-8281
Other practice locations
2600 Sixth St Sw
Canton, OH 44710-1702
Canton, OH 44710-1702
Phone 330-363-6211 · Fax 330-453-4263
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