Organization
ETAS CLINIC, P.C.
Active
Parent organization
ETAS CLINIC, P.C.
Other names
Etas Clinic, P.C.
Organization subpart
Yes
Provider details
NPI number
Legal business name
ETAS CLINIC, P.C.
Authorized official
EKONG I. ETA M.D. (CEO)
(864) 226-5260
Entity
Organization
Contact information
Practice address
400 N FANT ST, SUITE A, ANDERSON, SC 29621-5720
(864) 226-5260
(864) 226-5863
Mailing address
400 N FANT ST, SUITE A, ANDERSON, SC 29621-5720
(864) 226-5260
(864) 226-5863
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
21501
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
215011
—
SC
05
—
GP2896
—
SC
Enumeration date
05/07/2006
Last updated
12/04/2007
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us