Organization
PREMIER CARDIOVASCULAR CENTER PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KINGSLEY UZODINMA OKOROAFOR M.D. (PRESIDENT)
(910) 703-8718
Entity
Organization
Contact information
Practice address
1315 AVON ST STE 103, FAYETTEVILLE, NC 28304-4423
(910) 703-8718
(910) 703-8721
Mailing address
1315 AVON ST STE 103, FAYETTEVILLE, NC 28304-4423
(910) 703-8718
(910) 703-8721
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
200500969
NC
Other
Enumeration date
02/16/2011
Last updated
11/27/2018
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