Individual
MILELE LIKIVU KUDUMU BYNUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1106 REYNOLDS ST, MONROE, NC 28112-4375
(704) 289-5443
(704) 283-7655
Mailing address
1106 REYNOLDS ST, MONROE, NC 28112-4375
(704) 289-5443
(704) 283-7655
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
218916
NC
Other
Enumeration date
04/15/2016
Last updated
04/15/2016
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