Individual
MOHAMED ALI ELBASHIR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
271 COBBLESTONE LNDG, MOUNT JULIET, TN 37122-7471
(615) 415-4640
Mailing address
271 COBBLESTONE LNDG, MOUNT JULIET, TN 37122-7471
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
33709732
TX
Other
Enumeration date
01/28/2013
Last updated
01/28/2013
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