Provider Demographics
NPI:1205609021
Name:SABUR, HAKIM (PTA)
Entity type:Individual
Prefix:
First Name:HAKIM
Middle Name:
Last Name:SABUR
Suffix:
Gender:M
Credentials:PTA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2841 GREENBRIAR PKWY SW STE X304
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30331-2648
Mailing Address - Country:US
Mailing Address - Phone:404-691-4822
Mailing Address - Fax:
Practice Address - Street 1:2841 GREENBRIAR PKWY SW STE X304
Practice Address - Street 2:
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30331-2648
Practice Address - Country:US
Practice Address - Phone:404-691-4822
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-11-02
Last Update Date:2023-11-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GAPTA004523208100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & Rehabilitation