Individual
GOLD OMOGBEHIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2665 JOHN SMITH RD STE B, FAYETTEVILLE, NC 28306-2623
(910) 476-3859
Mailing address
1308 SNOWY EGRET DR, FAYETTEVILLE, NC 28306-3227
(910) 476-3859
Taxonomy
Speciality
Code
Description
License number
State
2278H0200X
Home Health Certified Respiratory Therapist
—
—
2279H0200X
Home Health Registered Respiratory Therapist
Primary
HC6427
NC
374U00000X
Home Health Aide
HC6427
NC
Other
Enumeration date
01/14/2022
Last updated
01/14/2022
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