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Individual

DR. VICTOR TABI ENOH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
777 HEMLOCK ST, MACON, GA 31201-2102
(478) 633-2147
(478) 742-9670
Mailing address
PO BOX 551420, FORT LAUDERDALE, FL 33355-1420
(800) 243-3839
(855) 851-4405

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
076097
GA
207L00000X
Anesthesiology Physician
390200000
TX

Other

Enumeration date
05/06/2011
Last updated
11/04/2016
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