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Individual

ADIL SHABAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
1000 MCARTHUR ST, MANCHESTER, TN 37355-2420
(931) 954-6131
(931) 954-6152
Mailing address
1000 MCARTHUR ST, MANCHESTER, TN 37355-2420
(931) 954-6131
(931) 954-6152

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN0000221959
TN
363LF0000X
Family Nurse Practitioner
Primary
0000221959
TN
363LF0000X
Family Nurse Practitioner
288331
GA

Other

Enumeration date
03/02/2019
Last updated
01/14/2022
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