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1225017635
NABIL N BASTA
AUGUSTA, GA
NPI
1225017635
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207ZP0102X Pathology Anatomic Pathology & Clinical Pathology
(Licence: GA 043544)
Enumeration Date
2006-01-13
Last Update Date
2015-07-06
Business Address
DR. NABIL N BASTA MD
1350 WALTON WAY
AUGUSTA, GA 30901-2612
Phone number: 706-774-5400
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Mailing Address
DR. NABIL N BASTA MD
14275 MIDWAY RD SUITE 400
ADDISON, TX 75001-3614
Phone number: 317-275-8000
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