Individual
DR. IBIKUNLE ADEOLA OJEBUOBOH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
22 OFFICE PARK DR, JACKSONVILLE, NC 28546-7325
(910) 219-4070
(910) 219-4071
Mailing address
PO BOX 12353, JACKSONVILLE, NC 28546-2353
(910) 219-4070
(910) 219-4071
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
9901455
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
127XA
BLUE CROSS BLUE SHIELD
NC
05
—
89127XA
—
NC
Enumeration date
04/10/2006
Last updated
07/28/2008
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