Organization
JABBOK HEALTH CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SUSAN MOKHTARI MD (OWNER)
(737) 727-5603
Entity
Organization
Contact information
Practice address
535 MAIN ST, SAVANNAH, TN 38372-2039
(731) 727-5603
Mailing address
5885 AIRLINE RD UNIT 986, ARLINGTON, TN 38002-5122
(901) 317-7360
(901) 317-7585
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
03/29/2017
Last updated
03/29/2017
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