Individual provider · NPI-1
Dr. Adebola K. Adekanmbi, MD
Internal Medicine · Concord, NC
NPI number1609921212
StatusActive
Last updated in NPPESMay 19, 2009
Details
- NPI
- 1609921212
- Entity type
- Individual (NPI-1)
- Name
- Dr. Adebola K. Adekanmbi
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jan 24, 2007
- Last updated
- May 19, 2009
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207R00000X | Internal Medicine | 9900744 | NC | Yes |
| 207P00000X | Emergency Medicine | 9900744 | NC |
Practice location
271 Executive Park DrConcord, NC 28025-1895
Phone 704-721-4232 · Fax 704-721-4232
Mailing address
271 Ne Executive Park DriveProvidence Medical Clinic, In Dba Cabarrus Mercy Clinic
Concord, NC 28025
Phone 704-707-4601
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