| Tabor Family Medicine Pllc | |
|
406 N Whitney Ave Ste 3 Cookeville TN 38501-2455 | |
| (931) 537-6367 | |
| Not Available |
| Full Name | Tabor Family Medicine Pllc |
|---|---|
| Speciality | Family Medicine |
| Location | 406 N Whitney Ave Ste 3, Cookeville, Tennessee |
| Authorized Official Name and Position | Kimberly A Tabor (OWNER) |
| Authorized Official Contact | 9315264600 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Tabor Family Medicine Pllc 406 N Whitney Ave Ste 3 Cookeville TN 38501-4243 Ph: (931) 537-6367 | Tabor Family Medicine Pllc 406 N Whitney Ave Ste 3 Cookeville TN 38501-2455 Ph: (931) 537-6367 |
| NPI Number | 1417155292 |
|---|---|
| Provider Enumeration Date | 07/03/2007 |
| Last Update Date | 04/23/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417155292 | NPI | - | NPPES |
| 1417155292 | Medicaid | TN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | DO1379 (Tennessee) | Primary |
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