Organization
MAURICE K. KPEGLO
Active
Other names
First Aid Emergency Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
MAURICE KOBLA KPEGLO M.D. (PHYSICIAN/OWNER)
(336) 378-0760
Entity
Organization
Contact information
Practice address
2025 MARTIN L. KING JR DR., SUITE-E, GREENSBORO, NC 27406-3334
(336) 378-0760
(336) 378-0970
Mailing address
PO BOX 14914, GREENSBORO, NC 27415-4914
(336) 378-0760
(336) 378-0970
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
200001360016
NC
208D00000X
General Practice Physician
Primary
29314
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8950296
—
NC
Enumeration date
05/01/2007
Last updated
09/09/2008
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