Individual
KOFI ASIEDU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
10406 CULLEN CT, CHARLOTTE, NC 28278-8024
(704) 858-0660
Mailing address
10406 CULLEN CT, CHARLOTTE, NC 28278-8024
(704) 858-0660
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
5007858
NC
Other
Enumeration date
08/24/2015
Last updated
08/24/2015
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