Search › Tennessee › 343900000X
Esam Ibrahim
NPI 1316322159 · on the registry since 2015 · sole proprietor
Practice
- Address
- 2021 N.Highland Ave
Jackson, TN 38305 - Phone
- (615) 506-9028
- Organisation at this address
- Luxottica Retail North America Inc
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 3
Registry record
- Primary taxonomy
- 343900000X
343900000X
- Licence states on file
- TN
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2015-07-22
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Tennessee