Imelda Odibo
Gynecologist - Maternal & Fetal Medicine
2150 Shipyard Blvd
Wilmington
, North Carolina 28403-8052
Imelda Odibo
Gynecologist - Maternal & Fetal Medicine
2150 Shipyard Blvd
Wilmington
, North Carolina 28403-8052
(910) 662-9490
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About
Features
Specialties
- Gynecologist - Maternal & Fetal Medicine
Languages spoken
- English
Location
First Address
- Imelda Odibo
- Po Box 936857
- Atlanta, GA
- Zip : 31193-6857
- Fax : (910) 662-9490
- Phone : (910) 662-9480
Second Address
- Imelda Odibo
- 2150 Shipyard Blvd
- Wilmington, NC
- Zip : 28403-8052
- Fax : (910) 662-9490
- Phone : (910) 662-9480
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207VM0101X | Gynecologist - Maternal & Fetal Medicine | 2015-00559 | NC |
National Provider Identifier
| NPI | 1194974535 |
|---|---|
| Provider Name | Imelda Odibo |
| First Address | Atlanta, GA 31193-6857 |
| Second Address | Wilmington, NC 28403-8052 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 10/09/2008 |
| Last Update Date | 26/05/2021 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.