Organization
SUNSHINE PEDIATRICS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
OGIEMWONYI ELEKHUOBA ASEMOTA M.D. (PRACTICE OWNER/PROVIDER)
(910) 484-4233
Entity
Organization
Contact information
Practice address
514 OWEN DRIVE, FAYETTEVILLE, NC 28304
(910) 484-4233
Mailing address
514 OWEN DRIVE, FAYETTEVILLE, NC 28304
(910) 484-4233
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
97-00454
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
891066J
—
NC
Enumeration date
08/02/2011
Last updated
06/25/2020
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