Organization
CAROLINA KIDNEY CARE, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MOSES ABOAGYE-KUMI MD (PARTNER)
(910) 500-6132
Entity
Organization
Contact information
Practice address
557 SANDHURST DR, FAYETTEVILLE, NC 28304
(910) 484-8114
(910) 484-1564
Mailing address
557 SANDHURST DR, FAYETTEVILLE, NC 28304-4433
(910) 484-8114
(910) 484-1564
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
—
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0136V
BLUECROSS BLUE SHIELD
NC
05
—
890136V
—
NC
Enumeration date
07/21/2005
Last updated
07/21/2022
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