Etas Clinic, P.C.

LBN: Etas Clinic, P.C.
Etas Clinic, P.C. is an health care organization with primary practice located at 400 N Fant St Suite A, Anderson SC 29621-5720. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as the primary health care specialty. Etas Clinic, P.C. can be contacted via phone (864) 226-5260, or through Eta, Ekong I. via phone (864) 226-5260.

Contact Information

Primary practice address
400 N Fant St Suite A Anderson SC 29621-5720
Phone: (864) 226-5260
Fax: (864) 226-5863
Website:
Map and Directions
Authorized official contact:
Name: Eta, Ekong I. Doctor of Medicine (MD)
Phone: (864) 226-5260

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 21501 South Carolina

Profile Details

NPI number 1699724849
LBN Legal business name Etas Clinic, P.C.
DBA Doing business as Etas Clinic, P.C.
Authorized official Eta, Ekong I. Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 Yes
Enumeration date May 7th, 2006
Last updated Dec 4th, 2007 - about 17 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1699724849 NPPES
South Carolina MEDICAID 215011
South Carolina MEDICAID GP2896

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