Individual
JAWANZA NYAHUMA JABARI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
500 JEFFERSON ST, WHITEVILLE, NC 28472-3634
(910) 642-8011
Mailing address
1305 WALT WHITMAN RD STE 300, MELVILLE, NY 11747-4300
(866) 306-6007
(704) 248-5537
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
2020-03599
NC
207L00000X
Anesthesiology Physician
228274
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1144294943
—
NC
05
—
257014900
—
FL
Enumeration date
02/16/2006
Last updated
06/20/2024
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