Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RE0101X | Endocrinologist (Diabetes Doctor) | 9400602 | NC |
NPI | 1093719528 |
---|---|
Provider Name | Augustine Uchechukwu Obi |
First Address | Salisbury, NC 28144-2705 |
Second Address | Salisbury, NC 28144-2705 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 13/06/2005 |
Last Update Date | 17/03/2018 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
8963531 | (05) | NC |
F83624 | (02) | NC |