# DIABETES ENDOCRINOLOGY & METABOLISM ASSOCIATES, PA

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1962841460
- **Authorized official:** DR. GODWIN OBINNA UZOMBA MD (PRESIDENT)
- **Authorized official phone:** (980) 299-0223

## Contact information

- **Practice address:** 4456 CENTRAL AVE, CHARLOTTE, NC 28205-5702
- **Practice address phone:** (980) 299-0023
- **Practice address fax:** (980) 299-1002
- **Mailing address:** PO BOX 471947, CHARLOTTE, NC 28247-1947
- **Mailing address phone:** (980) 299-0023
- **Mailing address fax:** (980) 299-1002

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207RE0101X | Endocrinology, Diabetes & Metabolism Physician | — | — | Yes |
| 305R00000X | Preferred Provider Organization | 23415 | SC | — |

## Other

- **Enumeration date:** 06/18/2013
- **Last updated:** 07/30/2019