# TABOR FAMILY MEDICINE PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1417155292
- **Authorized official:** DR. KIMBERLY A TABOR D.O. (OWNER)
- **Authorized official phone:** (931) 526-4600

## Contact information

- **Practice address:** 406 N WHITNEY AVE STE 3, COOKEVILLE, TN 38501-2455
- **Practice address phone:** (931) 537-6367
- **Mailing address:** 406 N WHITNEY AVE STE 3, COOKEVILLE, TN 38501-4243
- **Mailing address phone:** (931) 537-6367
- **Mailing address fax:** (931) 526-4512

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | DO1379 | TN | Yes |

## Other

- **Enumeration date:** 07/03/2007
- **Last updated:** 04/23/2008