Individual
DR. ADEBOLA K. ADEKANMBI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
271 EXECUTIVE PARK DR, CONCORD, NC 28025-1895
(704) 721-4232
(704) 721-4232
Mailing address
271 NE EXECUTIVE PARK DRIVE, PROVIDENCE MEDICAL CLINIC, IN DBA CABARRUS MERCY CLINIC, CONCORD, NC 28025
(704) 707-4601
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
9900744
NC
207R00000X
Internal Medicine Physician
Primary
9900744
NC
Other
Enumeration date
01/24/2007
Last updated
05/19/2009
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