Individual
TONI CHAGOLLA OXENDINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
923 W 3RD ST, PEMBROKE, NC 28372-9628
(910) 521-0564
(910) 521-8091
Mailing address
5221 PARAMOUNT PKWY STE 220, MORRISVILLE, NC 27560-5490
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
2013-01392
NC
208000000X
Pediatrics Physician
2013-01392
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1740417906
UNITEDHEALTHCARE
NC
05
—
1740417906
—
NC
01
—
5647743
AETNA PROVIDER NUMBER
NC
01
—
FH1101500
FIRSTCAROLINACARE
NC
Enumeration date
06/16/2009
Last updated
03/01/2024
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