Organization
FIRST CARE MEDICAL CLINIC, PA
Active
Other names
FIRST CARE MEDICAL CLINIC
Organization subpart
No
Provider details
NPI number
Authorized official
BENEDICT O OKWARA M.D. (MEDICAL DIRECTOR)
(704) 291-9267
Entity
Organization
Contact information
Practice address
404 S SUTHERLAND AVE, MONROE, NC 28112-5060
(704) 291-9267
(704) 283-7939
Mailing address
404 S SUTHERLAND AVE, MONROE, NC 28112-5060
(704) 291-9267
(704) 283-7939
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
207R00000X
Internal Medicine Physician
Primary
—
—
207RA0000X
Adolescent Medicine (Internal Medicine) Physician
—
—
208000000X
Pediatrics Physician
—
—
2080A0000X
Pediatric Adolescent Medicine Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
89012HW
—
NC
05
—
89013J4
—
NC
05
—
89015HX
—
NC
05
—
890259H
—
NC
05
—
890259K
—
NC
Enumeration date
03/31/2006
Last updated
05/04/2022
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