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Individual

ESEOVHE ALALIBO EGBORGE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D, MPH

Contact information

Practice address
130 MEDICAL WAY STE B, STOCKBRIDGE, GA 30281-9088
(678) 234-7774
Mailing address
2127 GOLDWAITE CT NW, KENNESAW, GA 30144-3813
(470) 222-0375

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
21046
MS
208000000X
Pediatrics Physician
Primary
77128
GA
208000000X
Pediatrics Physician
MD20080118
NM
208000000X
Pediatrics Physician
P1637
TX

Other

Enumeration date
04/22/2008
Last updated
03/07/2023
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