Individual
DR. BENJAMIN CHIGBO UDOH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2620 OWEN DR, FAYETTEVILLE, NC 28306-2933
(910) 860-0017
(910) 860-0015
Mailing address
PO BOX 88033, FAYETTEVILLE, NC 28304-8033
(910) 860-0017
(910) 860-0015
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
2009-01732
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5913279
—
NC
Enumeration date
08/23/2006
Last updated
07/07/2022
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