Tabor Family Medicine Pllc

LBN: Tabor Family Medicine Pllc
Tabor Family Medicine Pllc is an health care organization with primary practice located at 406 N Whitney Ave Ste 3 , Cookeville TN 38501-2455. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as the primary health care specialty. Tabor Family Medicine Pllc can be contacted via phone (931) 537-6367, or through Tabor, Kimberly A via phone (931) 526-4600.

Contact Information

Primary practice address
406 N Whitney Ave Ste 3 Cookeville TN 38501-2455
Fax:
Website:
Authorized official contact:
Name: Tabor, Kimberly A Doctor of Osteopathy (DO)

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X DO1379 Tennessee

Profile Details

NPI number 1417155292
LBN Legal business name Tabor Family Medicine Pllc
DBA Doing business as
Authorized official Tabor, Kimberly A Doctor of Osteopathy (DO)
Entity Organization
Organization subpart 1 No
Enumeration date Jul 3rd, 2007
Last updated Apr 23rd, 2008 - about 16 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1417155292 NPPES
Tennessee MEDICAID 1417155292

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