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Etohn Nimene

NPI 1972987683 · on the registry since 2015

Practice

Address
3034 Meadow Church Rd
Suwanee, GA 30024
Phone
(678) 478-5842

Registry record

Primary taxonomy
164W00000X
164W00000X
Also registered as
146N00000X
164W00000X
Licence states on file
TX, GA
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2015-07-13

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Georgia