Individual
NATHANIEL JABLECKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2695 HENDERSONVILLE RD STE 200, ARDEN, NC 28704
(828) 684-6035
(828) 654-8152
Mailing address
PO BOX 27877, SALT LAKE CITY, UT 84127-0877
(828) 694-8385
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
2008-01618
NC
207QS0010X
Sports Medicine (Family Medicine) Physician
2008-01618
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2023207
MEDICARE PTAN
NC
Enumeration date
05/10/2007
Last updated
08/17/2018
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