Individual
DR. AWAWU EKINADOESE IGBINADOLOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
701 E ROOSEVELT BLVD STE 800A, MONROE, NC 28112-5187
(704) 225-0211
(704) 225-0221
Mailing address
701 E ROOSEVELT BLVD STE 800A, P.O.BOX 528, MONROE, NC 28112-5187
(704) 225-0211
(704) 225-0221
Taxonomy
Speciality
Code
Description
License number
State
207RA0000X
Adolescent Medicine (Internal Medicine) Physician
200001720
NC
207RA0000X
Adolescent Medicine (Internal Medicine) Physician
Primary
22084
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
89128MX
—
NC
Enumeration date
07/28/2006
Last updated
01/13/2011
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