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Organization

HANORA MEDICAL CENTER, PLLC

Active
Find providers by NPI
Organization

HANORA MEDICAL CENTER, PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. BENJAMIN CHIGBO UDOH M.D. (CEO/PRESIDENT)
(910) 860-0017
Entity
Organization

Contact information

Practice address
2620 OWEN DR, FAYETTEVILLE, NC 28306
(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
01/10/2011
Last updated
07/11/2018
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