Individual
JAD JABBOUR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
6035 FAIRVIEW RD, CHARLOTTE, NC 28210
(704) 295-3000
Mailing address
6035 FAIRVIEW RD, CHARLOTTE, NC 28210-3256
(704) 295-3000
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
2018-00516
NC
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PENDING
—
NC
Enumeration date
04/05/2012
Last updated
04/27/2021
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