Individual
AKU EMEFA BEDU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
10816 BLACK DOG LN, CHARLOTTE, NC 28214-1478
(704) 316-3970
(704) 316-3971
Mailing address
PO BOX 60447, CHARLOTTE, NC 28260-0447
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
2020-01678
NC
Other
Enumeration date
05/18/2017
Last updated
07/21/2022
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