Individual
DR. MARK J JABEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
78 BOARDWALK LN, WAYNESVILLE, NC 28786-6863
(828) 456-4159
Mailing address
78 BOARDWALK LN, WAYNESVILLE, NC 28786-6863
(828) 456-4159
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
29599
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
132U5
BCBS OF NC
—
05
—
89132U5
—
NC
01
—
P00010547
RAILROAD
—
05
—
Q29591
—
SC
Enumeration date
06/05/2006
Last updated
08/25/2008
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