Individual
SURAFEAL GHEDAMU ABRAHA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
500 JEFFERSON ST, WHITEVILLE, NC 28472-3634
(910) 642-1776
(910) 642-9305
Mailing address
PO BOX 602530, CHARLOTTE, NC 28260-2530
(910) 642-1776
(910) 642-9305
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
2007-00035
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1306930631
—
NC
05
—
NC2273
—
SC
Enumeration date
10/03/2006
Last updated
02/18/2025
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