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Contact Information

EBANGA AGBOR, NP
793 SAWYER RD
MARIETTA, GA30062-2222
 Phone: 470-644-0016
 Fax: 770-563-0725
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Nurse Practitioner

363L00000X 50 Nurse Practitioner
Indicates primary specialty

NPI Profile & details for EBANGA AGBOR · (Female)

NPI Number 1275068173
Status Active
Credentials NP (Nurse Practitioner)
Entity Individual
Enumeration date 04/28/2017
Last updated 04/28/2017 - About 2 years ago
Sole proprietor 1 No
Identifiers
  • GA License # RN226655
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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