Organization
ETOWAH GASTROENTEROLOGY ASSOCIATES PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VIPUL T AMIN MD (PROVIDER)
(256) 467-4477
Entity
Organization
Contact information
Practice address
1026 GOODYEAR AVE, SUITE 201, GADSDEN, AL 35903-1194
(256) 467-4477
(256) 467-4830
Mailing address
1026 GOODYEAR AVE, SUITE 201, GADSDEN, AL 35903-1194
(256) 467-4477
(256) 467-4830
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MD23716
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
009969840
—
AL
01
—
51523153
BCBS
AL
Enumeration date
11/23/2007
Last updated
01/12/2023
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