Individual
DR. ANITA AFRIYIE KISIEDU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
6555 KEE LN STE 200, HARRISBURG, NC 28075-7463
(980) 302-9840
(980) 302-9841
Mailing address
PO BOX 60447, CHARLOTTE, NC 28260-0447
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
2023-02197
NC
Other
Enumeration date
05/04/2020
Last updated
01/17/2024
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