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Individual

UNWANA AMAJAK EYO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
364 WHITE OAK ST, ASHEBORO, NC 27203-5434
(336) 629-7723
(336) 629-7723
Mailing address
PO BOX 4997, ASHEBORO, NC 27204-4997
(336) 830-9192
(336) 830-9192

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
200301352
NC
208M00000X
Hospitalist Physician
Primary
200301352
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
135TA
BCBS
NC
05
89135TA
NC
01
P00222659
RAILROAD MEDICARE
NC
Enumeration date
03/14/2006
Last updated
09/08/2023
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