Organization
FIRST MED PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NDI JOHNNIE MADUAKO MD (CEO)
(516) 849-8385
Entity
Organization
Contact information
Practice address
1795 DR FRANK GASTON BLVD, ROCK HILL, SC 29732-1190
(516) 849-8385
(516) 830-3520
Mailing address
8022 PROVIDENCE RD STE 500-119, CHARLOTTE, NC 28277-9719
(516) 849-8385
(516) 830-3520
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD37960
SC
Other
Enumeration date
06/20/2017
Last updated
06/20/2017
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