Organization
METROLINA SURGICAL SPECIALISTS, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
OBINNA NNAEMKA ERUCHALU MD (MANAGING MEMBER)
(704) 375-0404
Entity
Organization
Contact information
Practice address
907 FITZGERALD ST, MONROE, NC 28112-5680
(704) 226-0531
(704) 292-7880
Mailing address
PO BOX 49092, CHARLOTTE, NC 28277-0073
(704) 375-0404
(704) 375-0705
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10039
PARTNERS MEDICARE
NC
01
—
1036L
BLUE CROSS BLUE SHIELD
NC
05
—
8930776
—
NC
Enumeration date
05/01/2006
Last updated
08/22/2025
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