Individual
DR. KWAME N IWEGBUE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
316 CALHOUN ST, CHARLESTON, SC 29401-1113
(843) 724-2450
Mailing address
PO BOX 751649, CHARLOTTE, NC 28275-1649
(843) 789-1620
(843) 724-2440
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
24486
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
20 24486
STATE REGISTRATION
SC
05
—
244863
—
SC
01
—
ECFMG
05978218
SC
01
—
P00469860
RAILROAD MEDICARE
SC
01
—
P00727200
RAILROAD MEDICARE ID-RSFPN
SC
Enumeration date
07/22/2005
Last updated
08/26/2009
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