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Organization
DIABETES ENDOCRINOLOGY & METABOLISM ASSOCIATES, PA
Active
Organization
DIABETES ENDOCRINOLOGY & METABOLISM ASSOCIATES, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GODWIN OBINNA UZOMBA MD (PRESIDENT)
(980) 299-0223
Entity
Organization
Contact information
Practice address
4456 CENTRAL AVE, CHARLOTTE, NC 28205-5702
(980) 299-0023
(980) 299-1002
Mailing address
PO BOX 471947, CHARLOTTE, NC 28247-1947
(980) 299-0023
(980) 299-1002
Taxonomy
Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
—
—
305R00000X
Preferred Provider Organization
23415
SC
Other
Enumeration date
06/18/2013
Last updated
07/30/2019
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