IndividualActive
Agbor Egbewatt, MD
NPI 1063521979 · Internal Medicine Physician · Lawrenceville, GA
Provider details
- NPI number
- 1063521979
- Entity type
- Individual
- Primary specialty
- Internal Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- 038744 (GA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
555 Old Norcross Road
Suite 130
Lawrenceville, GA 30045-8703
Phone: (770) 338-5070
Approximate (ZIP-level) locationGet directions
Mailing address
555 Old Norcross Road
Lawrenceville, GA 30045-8703
Registry dates
- Enumerated
- 2006-08-30
- Last updated
- 2007-07-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.