Individual
EBELE GWENDOLYN ORAZULIKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
342 PATRICIA LANE, STE 105, FORT MILL, SC 29708
(803) 520-9380
(803) 520-5972
Mailing address
2214 OLD CHEROKEE RD, LEXINGTON, SC 29072-9725
(803) 520-9380
(803) 520-5972
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
201101644
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
514526
—
SC
05
—
5921816
—
NC
Enumeration date
08/12/2008
Last updated
03/17/2018
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