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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