Provider Demographics
NPI:1689966772
Name:ENOH, VICTOR TABI (MD)
Entity Type:Individual
Prefix:DR
First Name:VICTOR
Middle Name:TABI
Last Name:ENOH
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:PO BOX 551420
Mailing Address - Street 2:
Mailing Address - City:FORT LAUDERDALE
Mailing Address - State:FL
Mailing Address - Zip Code:33355-1420
Mailing Address - Country:US
Mailing Address - Phone:800-243-3839
Mailing Address - Fax:855-851-4405
Practice Address - Street 1:777 HEMLOCK ST
Practice Address - Street 2:
Practice Address - City:MACON
Practice Address - State:GA
Practice Address - Zip Code:31201-2102
Practice Address - Country:US
Practice Address - Phone:478-633-2147
Practice Address - Fax:478-742-9670
Is Sole Proprietor?:No
Enumeration Date:2011-05-06
Last Update Date:2016-11-04
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
TX390200000207L00000X
GA076097207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology