Individual
DR. MICHAEL E. ETOMI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3033 EASTWAY DR STE 201, CHARLOTTE, NC 28205-6387
(704) 731-6451
(704) 731-6452
Mailing address
PO BOX 37938, CHARLOTTE, NC 28237-7938
(704) 332-0366
(704) 971-0035
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
35637
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8930891
—
NC
05
—
N35637
—
SC
Enumeration date
05/15/2006
Last updated
07/06/2023
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