Individual
DR. GODWIN OBINNA UZOMBA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4456 CENTRAL AVE, CHARLOTTE, NC 28205-5702
(980) 299-0023
Mailing address
4456 CENTRAL AVE, CHARLOTTE, NC 28205-5702
(980) 299-0023
Taxonomy
Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
200000152
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
014KK
BCBS NC-GROUP #
NC
01
—
1277F
BCBS NC-INDIVIDUAL #
NC
01
—
582305218
BCBS SC - PINEVILLE
NC
01
—
582305218001
BCBS SC-ROCK HILL
SC
01
—
582305218002
BCBS SC - LANCASTER
SC
05
—
891277F
—
NC
01
—
AETNA
7715252-PPO
—
05
—
GP3653
—
SC
01
—
MAMSI
2104818
—
01
—
MEDCOST
C6405
—
01
—
TRICARE
582305218-GROUP #
—
01
—
UNITED HEALTHCARE
2279397-INDIVIDUAL
—
Enumeration date
06/14/2005
Last updated
08/04/2019
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