Individual
CORLAN OLUKEMI EBOH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
10650 PARK RD, STE 480, CHARLOTTE, NC 28210-8538
(704) 667-0520
Mailing address
PO BOX 19305, CHARLOTTE, NC 28219-9305
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
01089917A
IN
207R00000X
Internal Medicine Physician
2016-01135
NC
207RG0100X
Gastroenterology Physician
01089917A
IN
207RG0100X
Gastroenterology Physician
Primary
2016-01135
NC
Other
Enumeration date
06/17/2010
Last updated
03/12/2026
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