Individual
DR. AMBROSE SUNDAY OKONKWO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2104 N HERRITAGE ST, KINSTON, NC 28501-2222
(252) 522-3663
(252) 522-3660
Mailing address
2104 N HERRITAGE ST, KINSTON, NC 28501-2222
(252) 522-3663
(252) 522-3660
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
9900633
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
89126AG
—
NC
Enumeration date
07/09/2006
Last updated
11/08/2011
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