Individual
ETAGBO OQUA ETA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D
Contact information
Practice address
311 S 4TH ST, GADSDEN, AL 35901-5212
(256) 543-0989
Mailing address
PO BOX 7190, RAINBOW CITY, AL 35906-7190
(256) 203-4713
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
MD.35051
AL
207RN0300X
Nephrology Physician
Primary
MD.35051
AL
Other
Enumeration date
06/09/2010
Last updated
01/05/2023
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