| Doctor Name: | MR. JALAL ALGHABRA |
| NPI Number: | 1023497880 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | PA |
| License Number: | 0010-05886 |
| Business Practice Address: | 3516 Us Highway 301 S Smithfield, NC - 275779495 |
| Business Phone Number: | 8002430566 |
| Business Fax Number: | 2522431347 |
| Mailing Address: | 1806 Glendale Dr Sw, WILSON |
| State: | NC |
| Postal Code: | 278934402 |
| Phone Number: | 2522430566 |
| Fax Number: | 2522431347 |
| NPI Enumeration Date: | 05/27/2015 |
| NPI Last Update Date: | 07/27/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363AM0700X |
| License Number: | 0010-05886 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | NC |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Physician Assistant |
| Taxonomy Specialization: | Medical |
| Taxonomy Definition: | |