Individual
DR. NYABILONDI HUGUETTE EBAMA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2140 PEACHTREE RD NW STE 232, ATLANTA, GA 30309-1316
(404) 231-4431
(404) 231-5677
Mailing address
2140 PEACHTREE RD NW STE 232, ATLANTA, GA 30309-1316
(404) 231-4431
(404) 231-5677
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
D0090242
MD
207R00000X
Internal Medicine Physician
MD471641
PA
207RI0200X
Infectious Disease Physician
34867
SC
207RI0200X
Infectious Disease Physician
Primary
81630
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003216412A
—
GA
01
—
G10627A
MEDICARE
GA
Enumeration date
08/04/2008
Last updated
01/22/2021
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