Provider Demographics
NPI:1235649781
Name:FABINY, LISBETH A (NBC-HWC)
Entity Type:Individual
Prefix:
First Name:LISBETH
Middle Name:A
Last Name:FABINY
Suffix:
Gender:F
Credentials:NBC-HWC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4537 MEADOWLAND WAY
Mailing Address - Street 2:
Mailing Address - City:FLOWERY BRANCH
Mailing Address - State:GA
Mailing Address - Zip Code:30542-3500
Mailing Address - Country:US
Mailing Address - Phone:770-530-0929
Mailing Address - Fax:
Practice Address - Street 1:4537 MEADOWLAND WAY
Practice Address - Street 2:
Practice Address - City:FLOWERY BRANCH
Practice Address - State:GA
Practice Address - Zip Code:30542-3500
Practice Address - Country:US
Practice Address - Phone:770-530-0929
Practice Address - Fax:770-967-4677
Is Sole Proprietor?:Yes
Enumeration Date:2017-10-10
Last Update Date:2021-11-18
Deactivation Date:
Deactivation Code:
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