Organization
SUNSHINE PEDIATRICS OF NC PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. OGIEMWONYI ELEKHUOBA ASEMOTA M.D. (PRACTICE OWNER/PHYSICIAN)
(910) 484-4233
Entity
Organization
Contact information
Practice address
514 OWEN DR, FAYETTEVILLE, NC 28304-3432
(910) 423-4233
(910) 423-0513
Mailing address
509 SANDHURST DRIVE, FAYETTEVILLE, NC 28304-4433
(910) 484-4233
(910) 484-2990
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
97-00454
NC
208000000X
Pediatrics Physician
9700454
NC
208000000X
Pediatrics Physician
—
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5918692
—
NC
Enumeration date
07/20/2010
Last updated
11/03/2023
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