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Organization
ETAGBO ETA M.D., P.C.
Active
Organization
ETAGBO ETA M.D., P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ETAGBO ETA MD (OWNER)
(256) 203-4713
Entity
Organization
Contact information
Practice address
311 S 4TH ST, GADSDEN, AL 35901-5212
(256) 203-4713
Mailing address
311 S 4TH ST, GADSDEN, AL 35901-5212
(256) 203-4713
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
—
—
Other
Enumeration date
12/27/2019
Last updated
04/10/2020
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