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Dr. Tagbo John Ekwonu, MD
Clinic/Center in Charlotte, North Carolina
NPI 1093890535

Tagbo John Ekwonu is a Clinic/Center based in Matthews, NC. Tagbo John Ekwonu practices in Charlotte, NC and has the professional credentials of MD. The NPI Number for Tagbo John Ekwonu is 1093890535 and holds a License No. 9900826 (North Carolina).

The current practice location address for Tagbo John Ekwonu is 4115 The Plz, Charlotte, NC and can be reached out via phone at 704-532-4567 and via fax at 704-532-4580.

Location: 4115 The Plz, Charlotte, NC, 28106-1280
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1093890535
Provider Name
Tagbo John Ekwonu
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
4115 The Plz, Charlotte, NC, 28106-1280
Phone Number
704-532-4567
Fax Number
704-532-4580
Provider Enumeration Date
10/25/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1235R 01 NC BCBS
891235R 05 NC
institution
Provider Business Practice Location Address Details
Address
4115 The Plz
City
Charlotte
State
North Carolina
Zip
28205-1356
Phone Number
704-532-4567
Fax Number
704-532-4580
person
Provider Business Mailing Address Details
Address
4115 The Plz
City
Charlotte
State
North Carolina
Zip
28205-1356
Phone Number
704-532-4567
Fax Number
704-532-4580
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Family Medicine
Speciality
-
Taxonomy
207Q00000X
License No.
9900826 (North Carolina)
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
person
Provider's Taxonomy Details 2
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
-
Taxonomy
261Q00000X
License No.
9900826 (North Carolina)
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
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