Individual
DR. AZEMOBO CHARLES AKHIMIEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1021 X RAY DR, GASTONIA, NC 28054-7489
(704) 867-2341
(704) 867-9019
Mailing address
1021 X RAY DR, GASTONIA, NC 28054-7489
(704) 867-2341
(704) 867-9019
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
200000171
NC
207R00000X
Internal Medicine Physician
23016
SC
207R00000X
Internal Medicine Physician
51287
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
891255W
—
NC
Enumeration date
04/18/2006
Last updated
12/21/2017
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