Organization
EASTOWNE FAMILY PHYSICIANS, P.A
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TAGBO EKWONU MD (MEDICAL DIRECTOR)
(704) 532-4567
Entity
Organization
Contact information
Practice address
4115 THE PLZ, CHARLOTTE, NC 28205-1356
(704) 532-4567
(704) 532-4580
Mailing address
PO BOX 1280, MATTHEWS, NC 28106-1280
(704) 532-4567
(704) 532-4580
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
09/28/2007
Last updated
03/30/2022
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