Individual
WINIFRED OWUMI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
230 BALDWIN AVE, CHARLOTTE, NC 28204-3110
(704) 376-5636
(704) 376-5933
Mailing address
230 BALDWIN AVE, CHARLOTTE, NC 28204-3110
(704) 376-5636
(704) 376-5933
Taxonomy
Speciality
Code
Description
License number
State
2088P0231X
Pediatric Urology Physician
Primary
2014-02386
NC
390200000X
Student in an Organized Health Care Education/Training Program
A101246
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2014-02386
NC LICENSE
NC
Enumeration date
09/28/2007
Last updated
07/21/2022
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