Provider Demographics
NPI:1639409469
Name:SABIN, JORGE ALEJANDRO (MD)
Entity Type:Individual
Prefix:DR
First Name:JORGE
Middle Name:ALEJANDRO
Last Name:SABIN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 14489
Mailing Address - Street 2:
Mailing Address - City:GREENVILLE
Mailing Address - State:SC
Mailing Address - Zip Code:29610-4489
Mailing Address - Country:US
Mailing Address - Phone:864-294-1800
Mailing Address - Fax:864-246-3251
Practice Address - Street 1:532 SULPHUR SPRINGS RD
Practice Address - Street 2:
Practice Address - City:GREENVILLE
Practice Address - State:SC
Practice Address - Zip Code:29617-6206
Practice Address - Country:US
Practice Address - Phone:864-294-1800
Practice Address - Fax:864-246-3251
Is Sole Proprietor?:No
Enumeration Date:2009-12-29
Last Update Date:2009-12-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SCMD-26686208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice