Provider Demographics
NPI:1821593476
Name:EKANE, JOAN NANGE (MD)
Entity type:Individual
Prefix:
First Name:JOAN
Middle Name:NANGE
Last Name:EKANE
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:1700 HOSPITAL SOUTH DR STE 402
Mailing Address - Street 2:
Mailing Address - City:AUSTELL
Mailing Address - State:GA
Mailing Address - Zip Code:30106-8116
Mailing Address - Country:US
Mailing Address - Phone:770-739-8282
Mailing Address - Fax:
Practice Address - Street 1:1700 HOSPITAL SOUTH DR STE 402
Practice Address - Street 2:
Practice Address - City:AUSTELL
Practice Address - State:GA
Practice Address - Zip Code:30106-8116
Practice Address - Country:US
Practice Address - Phone:770-739-8282
Practice Address - Fax:770-739-0794
Is Sole Proprietor?:No
Enumeration Date:2018-03-27
Last Update Date:2024-05-17
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
GA89361207RI0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RI0200XAllopathic & Osteopathic PhysiciansInternal MedicineInfectious Disease