| NPI | 1144508698 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | OGIEMWONYI ELEKHUOBA ASEMOTA Practice Owner/Provider 910-484-4233 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: NC 97-00454) |
| Enumeration Date | 2011-08-02 |
| Last Update Date | 2020-06-25 |