Individual
DR. OBUKOHWO FRANCIS SIDO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1343 E GARRISON BLVD, STE A, GASTONIA, NC 28054-5137
(704) 861-9117
Mailing address
1343 E GARRISON BLVD, STE A, GASTONIA, NC 28054-5137
(704) 861-9117
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
87317
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
34D0977558
CLIA
NC
01
—
76667
BLUE CROSS BLUE SHIELD
NC
05
—
8976667
—
NC
01
—
9709
PARTNERS MEDICARE
NC
Enumeration date
09/20/2006
Last updated
05/11/2011
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