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Individual

DR. BENEDICT O OKWARA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
404 SOUTH SUTHERLAND AVE., MONROE, NC 28112
(704) 291-9267
(704) 283-7939
Mailing address
404 SOUTH SUTHERLAND AVE., MONROE, NC 28112-5060
(704) 291-9267
(704) 283-7939

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
33878
NC
207RA0000X
Adolescent Medicine (Internal Medicine) Physician
33878
NC
208000000X
Pediatrics Physician
33878
NC
2080A0000X
Pediatric Adolescent Medicine Physician
33878
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
7963995
NC
05
N33878
SC
Enumeration date
03/22/2006
Last updated
12/16/2025
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