OMOYEMEN OSIWI BLUE

CHARLOTTE, NC
NPI1518428200
Former NameOMOYEMEN OSIWI OSEHOBO
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy207P00000X Emergency Medicine
(Licence: NC  2022-01185)
Enumeration Date2019-03-26
Last Update Date2022-07-20
Business Address
Dr. OMOYEMEN OSIWI BLUE MD
10628 PARK RD
CHARLOTTE, NC 28210-8407
Phone number: 704-667-1000
Mailing Address
Dr. OMOYEMEN OSIWI BLUE MD
10628 PARK RD
CHARLOTTE, NC 28210-8407
Phone number: