Individual
MR. BENJAMIN MADUAKONAM IGWEMEZIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
635 N MAIN ST, HIGH POINT, NC 27260-5017
(336) 887-0038
(336) 885-8096
Mailing address
635 N MAIN ST, HIGH POINT, NC 27260-5017
(336) 887-0038
(336) 885-8096
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
94-01418
NC
207RN0300X
Nephrology Physician
Primary
9401418
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8945208
—
NC
Enumeration date
04/12/2006
Last updated
05/20/2008
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