Individual
EMMANUEL O EDOSOMWAN-EIGBE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1805 MILTON RD, CHARLOTTE, NC 28215-2437
(704) 535-0400
(704) 535-3443
Mailing address
1805 MILTON RD, CHARLOTTE, NC 28215-2437
(704) 535-0400
(704) 535-3443
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
2009-01629
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5913749
—
NC
Enumeration date
09/03/2008
Last updated
09/24/2015
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