Internal And Pulmonary Medicine Of Lafollette, Pc | |
511 W Central Ave Suite 2 La Follette TN 37766-3423 | |
(423) 566-4142 | |
(423) 566-5267 |
Full Name | Internal And Pulmonary Medicine Of Lafollette, Pc |
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Speciality | Internal Medicine |
Location | 511 W Central Ave, La Follette, Tennessee |
Authorized Official Name and Position | Jamal Isber (OWNER) |
Authorized Official Contact | 4235664142 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Internal And Pulmonary Medicine Of Lafollette, Pc 511 W Central Ave Suite 2 La Follette TN 37766-3423 Ph: (423) 566-4142 | Internal And Pulmonary Medicine Of Lafollette, Pc 511 W Central Ave Suite 2 La Follette TN 37766-3423 Ph: (423) 566-4142 |
NPI Number | 1811926793 |
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Provider Enumeration Date | 07/02/2006 |
Last Update Date | 11/09/2007 |
Medicare PECOS PAC ID | 0749376820 |
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Medicare Enrollment ID | O20071020000113 |
Identifier | Type | State | Issuer |
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1811926793 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207R00000X | Internal Medicine | MD25826 (Tennessee) | Primary |
Provider Name | Jamal Isber |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1912936808 PECOS PAC ID: 7113946732 Enrollment ID: I20051114000295 |
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