Individual
HAILU T KABTIMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
919 W MAIN ST M3, HENDERSONVILLE, TN 37075
(615) 826-2102
(615) 826-2743
Mailing address
919 W MAIN ST M3, HENDERSONVILLE, TN 37075
(615) 826-2102
(615) 826-2743
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD0000030413
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3843759
—
TN
Enumeration date
09/29/2006
Last updated
12/11/2009
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