Individual
DR. WESLEY ROBERT IBAZEBO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1130 N CHURCH ST STE 100, GREENSBORO, NC 27401-1041
(336) 375-2300
(336) 375-2313
Mailing address
PO BOX 5105, BELFAST, ME 04915-5100
(919) 220-5255
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
2010-00747
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2010-00747
NC MEDICAL LICENSE
NC
05
—
5914849
—
NC
Enumeration date
05/14/2007
Last updated
08/28/2025
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