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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