Individual
ANTHONY OLUSOLA ADEGOKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
412 MINGOCREST DR, KNIGHTDALE, NC 27545-6700
(919) 601-2033
Mailing address
412 MINGOCREST DR, KNIGHTDALE, NC 27545-6700
(919) 601-2033
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
5011833
NC
Other
Enumeration date
03/03/2020
Last updated
03/03/2020
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