# JABBOK HEALTH CENTER, LLC

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

## Provider details

- **NPI number:** 1962934034
- **Authorized official:** DR. SUSAN MOKHTARI MD (OWNER)
- **Authorized official phone:** (737) 727-5603

## Contact information

- **Practice address:** 535 MAIN ST, SAVANNAH, TN 38372-2039
- **Practice address phone:** (731) 727-5603
- **Mailing address:** 5885 AIRLINE RD UNIT 986, ARLINGTON, TN 38002-5122
- **Mailing address phone:** (901) 317-7360
- **Mailing address fax:** (901) 317-7585

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 03/29/2017
- **Last updated:** 03/29/2017