Organization
FIRST CARE MEDICAL CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BENEDICT O OKWARA M.D. (MEDICAL DIRECTOR)
(704) 291-9267
Entity
Organization
Contact information
Practice address
812 W INNES ST, SALISBURY, NC 28144-4152
(704) 637-5544
(704) 637-1989
Mailing address
404 S SUTHERLAND AVE, MONROE, NC 28112-5060
(704) 291-9267
(704) 283-7939
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
—
—
207Q00000X
Family Medicine Physician
—
—
207R00000X
Internal Medicine Physician
Primary
—
—
207RA0000X
Adolescent Medicine (Internal Medicine) Physician
—
—
208000000X
Pediatrics Physician
—
—
2080A0000X
Pediatric Adolescent Medicine Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5919575
—
NC
05
—
QPB679
—
SC
Enumeration date
02/01/2012
Last updated
08/29/2012
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