Organization
KABIR CLINIC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. SHIRLEY A. LEACH RN (OFFICE MANAGER)
(423) 784-1197
Entity
Organization
Contact information
Practice address
488 S FLORENCE AVE, JELLICO, TN 37762-2382
(423) 784-1197
(423) 784-4647
Mailing address
488 S FLORENCE AVE, JELLICO, TN 37762-2382
(423) 784-1197
(423) 784-4647
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
26093
TN
Other
Enumeration date
02/04/2009
Last updated
02/04/2009
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