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Organization

ALFA MEDICAL CLINIC, PA

Active
Organization subpart
No

Provider details

NPI number
Authorized official
FRANCIS OBENG MD (PHYSICIAN)
(704) 588-9997
Entity
Organization

Contact information

Practice address
2540 W ARROWOOD RD, STE 110, CHARLOTTE, NC 28273-6197
(704) 588-9997
(704) 588-9499
Mailing address
PO BOX 77188, CHARLOTTE, NC 28271-7004
(704) 588-9997
(704) 588-9499

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
200200148
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
13155
BCBS
NC
05
5917593
NC
05
8913155
NC
01
P00275272
MEDICARE RR
NC
Enumeration date
06/06/2006
Last updated
09/23/2011
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