Mabo, Eric Akonwi

Mabo, Eric Akonwi is an individual health care provider with primary practice located at 743 Spring St Ne , Gainesville GA 30501-3715. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Hospitalist, Allopathic & Osteopathic Physicians / Emergency Medicine. Allopathic & Osteopathic Physicians / Emergency Medicine is his primary health care specialty. Mabo, Eric Akonwi can be contacted via phone (770) 219-2627.

Contact Information

Primary practice address
743 Spring St Ne Gainesville GA 30501-3715
Phone: (770) 219-2627
Fax: (770) 219-7365
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 25MA09022900 New Jersey
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 055263 Georgia
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X 055263 Georgia
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 055263 Georgia

Profile Details

NPI number 1811997794
LBN Legal business name Mabo, Eric Akonwi
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 21st, 2005
Last updated Aug 15th, 2019 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1811997794 NPPES
Georgia MEDICAID 560938790B
Georgia MEDICAID 000628600
Georgia Other P00712052

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