Individual
MATILDA GRAHAM AGYEMANG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
13425 HOOVER CREEK BLVD, CHARLOTTE, NC 28273
(704) 384-1246
(704) 384-6072
Mailing address
PO BOX 60447, CHARLOTTE, NC 28260-0447
(704) 384-1246
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
5007896
NC
Other
Enumeration date
08/21/2015
Last updated
10/25/2020
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