Individual
DONALD EDWARD JABLONSKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
2 ETOWAH SCHOOL ROAD, ETOWAH, NC 28729-1925
(828) 890-3200
Mailing address
2 ETOWAH SCHOOL ROAD, PO BOX 2108, ETOWAH, NC 28729-1925
(828) 890-3200
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
9501669
NC
207Q00000X
Family Medicine Physician
DO39913
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2400576D
MEDICARE ID-TYPE UNSPECIFIED
NC
01
—
2400576E
MEDICARE
NC
01
—
P00933350
RR MEDICARE
NC
Enumeration date
11/08/2006
Last updated
12/08/2020
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