Organization
FIRST CARE MEDICAL CLINIC
Active
Other names
First Care Medical Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
BENEDICT O OKWARA MD (MEDICAL DIRECTOR)
(704) 291-9267
Entity
Organization
Contact information
Practice address
2450 ABERDEEN BLVD, GASTONIA, NC 28054-0644
(704) 866-8030
(704) 866-8717
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
—
—
208000000X
Pediatrics Physician
—
—
2080A0000X
Pediatric Adolescent Medicine Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0259H
BCBSNC
NC
01
—
2326436
GROUP MEDICARE #
NC
05
—
890259H
—
NC
Enumeration date
05/02/2011
Last updated
07/21/2022
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