MR. EFIONG E. MBABA REGISTERED NURSE NPI 1477763654

NPI Information

  • NPI: 1477763654
  • Provider Name: MR. EFIONG E. MBABA, REGISTERED NURSE
  • Classification: Durable Medical Equipment & Medical Supplies - 332B00000X
  • Entity Type: Individual
  • Address: 804 COMMERCE BLVD
    SUITE A-32
    RIVERDALE, GA
    ZIP 30296
  • Phone: (770) 907-0194

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NPI Details

MR. Efiong E. Mbaba, REGISTERED NURSE is a durable medical equipment medical supplies in Riverdale, GA. The provider is a supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time. MR. Efiong E. Mbaba, REGISTERED NURSE NPI is 1477763654. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

804 COMMERCE BLVD
SUITE A-32
RIVERDALE, GA
ZIP 30296-321
Phone: (770) 907-0194
Fax: (770) 907-0195

The enumeration date for this NPI number is 5/23/2007 and was last updated on 4/8/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1332B00000XDurable Medical Equipment & Medical Supplies06-19916GEORGIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
15432230001MEDICARE NSCGEORGIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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