Individual
JAWAID KAMAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
617 W MAIN ST, HOHENWALD, TN 38462-1355
(931) 796-4901
(931) 796-6203
Mailing address
854 W JAMES CAMPBELL BLVD, SUITE 303, COLUMBIA, TN 38401-4659
(931) 540-4255
(931) 796-6203
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
26915
TN
207R00000X
Internal Medicine Physician
Primary
26915
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3098091
—
TN
05
—
3710089
—
TN
01
—
4093112
BCBST
TN
Enumeration date
02/07/2006
Last updated
04/28/2021
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