Individual
NDI JOHNNIE MADUAKO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1000 BLYTHE BLVD, CMC ANNEX 1ST FLOOR, CHARLOTTE, NC 28203-5812
(704) 355-0720
Mailing address
8201 ARROWRIDGE BLVD, STE 106, CHARLOTTE, NC 28273-5865
(704) 885-1702
(704) 900-0850
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
2015-00820
NC
208M00000X
Hospitalist Physician
2015-00820
NC
Other
Enumeration date
02/26/2009
Last updated
08/01/2022
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