Individual
ELLIOT EMILE KURBAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
58 MURRAY GUARD DR, JACKSON, TN 38305-3661
(731) 513-5701
(877) 867-6701
Mailing address
58 MURRAY GUARD DR, JACKSON, TN 38305-3661
(731) 513-5701
(877) 867-6701
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
36932
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10306I2080
MEDICARE
TN
01
—
P01778643
RAILROAD MEDICARE
TN
05
—
Q010250
—
TN
Enumeration date
06/04/2006
Last updated
07/12/2023
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