Individual
SHAHIN ETEBAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1538 13TH AVE STE B300, COLUMBUS, GA 31901-2563
(706) 321-9300
(706) 243-1284
Mailing address
1538 13TH AVE STE B300, COLUMBUS, GA 31901-2563
(706) 321-9300
(706) 243-1284
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
89571
GA
207T00000X
Neurological Surgery Physician
Primary
89571
GA
207T00000X
Neurological Surgery Physician
G72753
CA
Other
Enumeration date
06/22/2005
Last updated
10/31/2022
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