Individual
ETTA GRACE NABORS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
701 GROVE RD, GREENVILLE, SC 29605-4210
(864) 455-7895
(864) 455-7807
Mailing address
701 GROVE RD, GREENVILLE, SC 29605-4210
(864) 455-7895
(864) 455-7807
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
2023-01054
NC
208000000X
Pediatrics Physician
Primary
LL83159
SC
Other
Enumeration date
05/19/2020
Last updated
05/16/2023
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