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Individual

DR. GIFT EGBON EZE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
2777 N HIGHLAND AVE, JACKSON, TN 38305
(731) 661-0067
(731) 661-0533
Mailing address
PO BOX 10025, JACKSON, TN 38308-0100
(731) 661-0067
(731) 661-0533

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
28175
TN
207R00000X
Internal Medicine Physician
Primary
28175
TN

Other

Enumeration date
07/09/2006
Last updated
05/13/2025
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