Individual
DR. COLLINS MBUGUA MBARIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D
Contact information
Practice address
628 E 12TH ST, WASHINGTON, NC 27889-3409
(252) 975-4100
Mailing address
628 E 12TH ST, WASHINGTON, NC 27889-3409
(252) 975-4100
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
2019-01889
NC
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1750732962
—
NC
Enumeration date
06/29/2016
Last updated
12/15/2020
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