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Dr. Jacob Edward Taber, DO
Student in an Organized Health Care Education/Training Program in Kingsport, Tennessee
NPI 1235711573

Jacob Edward Taber is a Student in an Organized Health Care Education/Training Program based in Kingsport, TN. Jacob Edward Taber practices in Kingsport, TN and has the professional credentials of DO. The NPI Number for Jacob Edward Taber is 1235711573 and holds a License No. (Tennessee).

The current practice location address for Jacob Edward Taber is 102 E Ravine Rd, Kingsport, TN and can be reached out via phone at 423-245-9635 and via fax at 423-439-2440.

Location: 102 E Ravine Rd, Kingsport, TN, 37660-3814
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1235711573
Provider Name
Jacob Edward Taber
Credential
DO
Provider Entity Type
Individual
Gender
Male
Address
102 E Ravine Rd, Kingsport, TN, 37660-3814
Phone Number
423-245-9635
Fax Number
423-439-2440
Provider Enumeration Date
04/26/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
102 E Ravine Rd
City
Kingsport
State
Tennessee
Zip
37660-3814
Phone Number
423-245-9635
Fax Number
423-439-2440
person
Provider Business Mailing Address Details
Address
102 E Ravine Rd
City
Kingsport
State
Tennessee
Zip
37660-3814
Phone Number
423-245-9635
Fax Number
423-439-2440
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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