Individual
GODFREY DELE ONIME
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4900 FAYETTEVILLE RD, LUMBERTON, NC 28358-2110
(910) 739-8899
(910) 738-7174
Mailing address
4900 FAYETTEVILLE RD, LUMBERTON, NC 28358-2110
(910) 739-8899
(910) 738-7174
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
2002-01138
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
133KF
BLUE CROSS BLUE SHIELD
NC
05
—
89133KF
—
NC
Enumeration date
09/29/2005
Last updated
06/07/2011
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