Individual
ABENA OWUSU-BANAHENE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3333 SILAS CREEK PKWY, WINSTON SALEM, NC 27103-3013
(336) 718-8383
(336) 718-9622
Mailing address
PO BOX 60447, CHARLOTTE, NC 28260-0447
(336) 718-8383
(336) 718-9622
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
2020-03238
NC
207R00000X
Internal Medicine Physician
4301110296
MI
208M00000X
Hospitalist Physician
Primary
2020-03238
NC
Other
Enumeration date
07/06/2016
Last updated
10/27/2020
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