Individual
MRS. MMEYENEABASI DAVID OMEDE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
301 E WENDOVER AVE STE 311, GREENSBORO, NC 27401-1210
(336) 272-6161
(336) 271-3724
Mailing address
55 FRUIT ST, BOSTON, MA 02114-2621
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
292199
MA
2080P0206X
Pediatric Gastroenterology Physician
Primary
2025-00597
NC
2080P0206X
Pediatric Gastroenterology Physician
292199
MA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/26/2019
Last updated
07/21/2025
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