Organization
DON JABLONSKI DO PA
Active
Other names
Country Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
MR. SHANN LYLE DAVIS PA (OWNER)
(828) 890-3200
Entity
Organization
Contact information
Practice address
2 ETOWAH SCHOOL ROAD, ETOWAH, NC 28729
(828) 890-3200
(828) 890-3223
Mailing address
PO BOX 2108, ETOWAH, NC 28729
(828) 890-3200
(828) 890-3223
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
9501669
NC
261Q00000X
Clinic/Center
9501669
NC
Other
Enumeration date
12/27/2006
Last updated
05/04/2010
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