# ETAS CLINIC, P.C.

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** ETAS CLINIC, P.C.
- **Other names:** Etas Clinic, P.C.
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1699724849
- **Legal business name:** ETAS CLINIC, P.C.
- **Authorized official:** EKONG I. ETA M.D. (CEO)
- **Authorized official phone:** (864) 226-5260

## Contact information

- **Practice address:** 400 N FANT ST, SUITE A, ANDERSON, SC 29621-5720
- **Practice address phone:** (864) 226-5260
- **Practice address fax:** (864) 226-5863
- **Mailing address:** 400 N FANT ST, SUITE A, ANDERSON, SC 29621-5720
- **Mailing address phone:** (864) 226-5260
- **Mailing address fax:** (864) 226-5863

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | 21501 | SC | Yes |

## Other

- **Enumeration date:** 05/07/2006
- **Last updated:** 12/04/2007

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 215011 | — | SC |
| 05 | — | GP2896 | — | SC |