Individual
IKECHUKWU ERIC IBEGBU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4 JOSH COURT, JACKSONVILLE, NC 28546-5253
(910) 577-3636
Mailing address
4 JOSH CT, JACKSONVILLE, NC 28546-0052
(910) 577-3636
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
200401229
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5900314
—
NC
01
—
P00310404
RAILROAD MEDICARE
—
Enumeration date
12/07/2005
Last updated
03/02/2017
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