Individual
FARAI MUTONGWIZO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
395 W 27TH ST, LUMBERTON, NC 28358-3018
(910) 739-7551
(910) 739-2332
Mailing address
300 W 27TH ST, LUMBERTON, NC 28358-3075
(910) 739-7551
(910) 739-2332
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
2021-02341
NC
208M00000X
Hospitalist Physician
2021-02341
NC
Other
Enumeration date
06/04/2019
Last updated
10/04/2025
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