Individual
AIDEVO SANDRA IGBIDE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
511 RUIN CREEK RD STE 101, HENDERSON, NC 27536-5919
(919) 813-6367
Mailing address
566 RUIN CREEK RD, HENDERSON, NC 27536-2927
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
2017-01431.
NC
Other
Enumeration date
10/21/2017
Last updated
10/21/2017
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