Individual
DR. KINGSLEY UZO OKOROAFOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1315 AVON ST STE 103, FAYETTEVILLE, NC 28304-4423
(910) 703-8718
(910) 703-8721
Mailing address
1315 AVON ST STE 103, FAYETTEVILLE, NC 28304-4423
(910) 703-8718
(910) 703-8721
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
200500969
NC
207RC0000X
Cardiovascular Disease Physician
Primary
200500969
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
200500969
MEDICAL LICENSE NUMBER
NC
05
—
5901175
—
NC
Enumeration date
09/15/2006
Last updated
06/14/2022
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