Basic Information
| Provider Information | |||||||||
| NPI: | 1265693873 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | ABURIME | ||||||||
| FirstName: | EKINADESE | ||||||||
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| Mailing Information | |||||||||
| Address1: | 1301 SIGMAN RD NE | ||||||||
| Address2: | SUITE 190 | ||||||||
| City: | CONYERS | ||||||||
| State: | GA | ||||||||
| PostalCode: | 300123812 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7709224024 | ||||||||
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| Practice Location | |||||||||
| Address1: | 1301 SIGMAN RD NE | ||||||||
| Address2: | SUITE 190 | ||||||||
| City: | CONYERS | ||||||||
| State: | GA | ||||||||
| PostalCode: | 300123812 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7709224024 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 06/17/2008 | ||||||||
| LastUpdateDate: | 10/04/2016 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207RG0100X | 076760 | GA | Y | Allopathic & Osteopathic Physicians | Internal Medicine | Gastroenterology |
No ID Information.