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Individual

DR. OLIVIA BRIDGET MIJUMBI

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
239 WILMOT DR STE A, GASTONIA, NC 28054-4048
(704) 864-0303
(704) 864-6070
Mailing address
PO BOX 550818, GASTONIA, NC 28055-0818
(704) 864-0303
(704) 864-6070

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
9701818
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
12-01098
UNITED HEALTHCARE
NC
01
1322Y
BLUECROSS BLUESHIELD
NC
01
2900124
AETNA
NC
01
810561334
ONE HEALTH
KS
01
810561334
HEALTHNET OF CA
KY
01
810561334
WELLPATH SELECT INC
NC
01
810561334
TRICARE
SC
01
810561334
NORTH AMERICA ADMIN LP
TN
05
891322Y
NC
01
9259849
PHCS
MA
01
9554744001
CIGNA
NC
01
A8078
MEDCOST
NC
Enumeration date
01/02/2006
Last updated
02/01/2023
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