Individual
JALAL SHOUKRI KABLAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
1070 VINEHAVEN DR NE, CONCORD, NC 28025-2438
(704) 783-1840
Mailing address
PO BOX 935722, ATLANTA, GA 31193-5722
(843) 792-6200
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
126185
NC
367500000X
Certified Registered Nurse Anesthetist
22901
SC
Other
Enumeration date
05/08/2019
Last updated
03/08/2024
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