Walter Azubuike Ezeigbo, MD | |
1000 Southpark Blvd, Suite A, Winston Salem, NC 27127-5072 | |
(336) 788-4545 | |
(336) 788-4556 |
Full Name | Walter Azubuike Ezeigbo |
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Gender | Male |
Speciality | Family Practice |
Experience | 32 Years |
Location | 1000 Southpark Blvd, Winston Salem, North Carolina |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
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1306839659 | NPI | - | NPPES |
891075W | Medicaid | NC |
Taxonomy | Type | License (State) | Status |
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207Q00000X | Family Medicine | 9601605 (North Carolina) | Primary |
Entity Name | Advance Family And Sports Medicine Center, Pllc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1376854083 PECOS PAC ID: 9537351440 Enrollment ID: O20101011000997 |
Mailing Address | Practice Location Address |
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Walter Azubuike Ezeigbo, MD 1000 Southpark Blvd, Suite A, Winston Salem, NC 27127-5072 Ph: (336) 788-4545 | Walter Azubuike Ezeigbo, MD 1000 Southpark Blvd, Suite A, Winston Salem, NC 27127-5072 Ph: (336) 788-4545 |
Jessica Hart St. John, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1834 Wake Forest Rd, Winston Salem, NC 27109 Phone: 336-758-5218 | |
Dr. Timothy Lee Fischer, DO Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 4692 Brownsboro Rd, Winston Salem, NC 27106 Phone: 336-251-1114 | |
Katherine Farris, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 3000 Maplewood Ave, Suite 112, Winston Salem, NC 27103 Phone: 336-768-2980 Fax: 336-765-6599 | |
Michael Lee Coates, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: Medical Center Blvd, Winston Salem, NC 27157 Phone: 336-716-2255 | |
Matthew Allen Laws, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 312 Jonestown Rd, Winston Salem, NC 27104 Phone: 336-716-7576 Fax: 336-702-9342 | |
Ricky Howard Stugart, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 100 Robinhood Medical Plz, Dba Maplewood Family Practice, Winston Salem, NC 27106 Phone: 336-718-0800 Fax: 336-718-0871 | |
Dr. Michele Denise Powell, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 7781 N Point Blvd, Winston Salem, NC 27106 Phone: 336-765-3430 Fax: 336-765-3429 |