Organization
BENJAMIN O. AKIWUMI, MD
Active
Organization
BENJAMIN O. AKIWUMI, MD
Active
Other names
St. Luke's Medical Center
Organization subpart
No
Provider details
NPI number
Authorized official
BENJAMIN OLUFEMI AKIWUMI M.D. (MEDICAL DIRECTOR)
(910) 300-9220
Entity
Organization
Contact information
Practice address
105 W COURTHOUSE AVE, BURGAW, NC 28425-0000
(910) 300-9220
(910) 300-9270
Mailing address
PO BOX 1579, BURGAW, NC 28425-1579
(910) 300-9220
(910) 300-9270
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
9900005
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5917616
—
NC
01
—
9900005
LICENSE
NC
Enumeration date
06/02/2011
Last updated
03/14/2012
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