Individual
NGWE ACHIRIMOFOR AYCOCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
221 N GRAHAM HOPEDALE RD, BURLINGTON, NC 27217-2971
(336) 570-3739
(336) 570-1215
Mailing address
221 N GRAHAM HOPEDALE RD, BURLINGTON, NC 27217-2971
(336) 570-3739
(336) 570-1215
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
2013-00746
NC
261QF0400X
Federally Qualified Health Center (FQHC)
2013-00746
NC
Other
Enumeration date
04/24/2010
Last updated
07/16/2013
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