NPI | 1992018873 |
---|---|
Entity Type | Organization |
Authorized Contact | OGIEMWONYI ELEKHUOBA ASEMOTA Practice Owner/Physician 910-484-4233 |
Organization Subpart ? | No |
Primary Taxonomy | 208000000X Pediatrics (Licence: NC 97-00454) |
Additional Taxonomies | 208000000X Pediatrics (Licence: NC 9700454) |
208000000X Pediatrics | |
Enumeration Date | 2010-07-20 |
Last Update Date | 2023-11-03 |