Provider Demographics
NPI:1356590269
Name:VAL, SYBILE (MD)
Entity type:Individual
Prefix:DR
First Name:SYBILE
Middle Name:
Last Name:VAL
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:33 UPPER RIVERDALE RD SW
Mailing Address - Street 2:STE 112
Mailing Address - City:RIVERDALE
Mailing Address - State:GA
Mailing Address - Zip Code:30274-2626
Mailing Address - Country:US
Mailing Address - Phone:770-996-3190
Mailing Address - Fax:770-996-3529
Practice Address - Street 1:1100 JOHNSON FY RD NE STE 850
Practice Address - Street 2:
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30342-1733
Practice Address - Country:US
Practice Address - Phone:470-381-6500
Practice Address - Fax:470-381-6503
Is Sole Proprietor?:No
Enumeration Date:2008-09-16
Last Update Date:2018-10-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA072839208200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208200000XAllopathic & Osteopathic PhysiciansPlastic Surgery