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Individual

FEKADU MUKTAR NURE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
201 E GROVER ST, SHELBY, NC 28150-3917
(980) 487-3678
Mailing address
PO BOX 19305, CHARLOTTE, NC 28219-9305

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
2021-01079
NC
208M00000X
Hospitalist Physician
Primary
2021-01079
NC

Other

Enumeration date
10/24/2014
Last updated
07/15/2024
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