Organization
CAROLINA SURGICAL SPECIALISTS, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. OBINNA CHUKWUDI IGWILO M.D. (PRESIDENT)
(910) 426-2224
Entity
Organization
Contact information
Practice address
1220 WALTER REED RD, SUITE 102, FAYETTEVILLE, NC 28304-4430
(910) 426-2224
(910) 826-2228
Mailing address
1220 WALTER REED RD, SUITE 102, FAYETTEVILLE, NC 28304-4430
(910) 426-2224
(910) 826-2228
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
89128RX
—
NC
Enumeration date
12/02/2005
Last updated
08/08/2014
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