| Odibo Medical Group Pllc | |
|
1215 Medical Center Dr Wilmington NC 28401-7306 | |
| (910) 228-5894 | |
| (888) 836-5759 |
| Full Name | Odibo Medical Group Pllc |
|---|---|
| Speciality | Internal Medicine |
| Location | 1215 Medical Center Dr, Wilmington, North Carolina |
| Authorized Official Name and Position | Michael C Odibo (FOUNDER & PRESIDENT) |
| Authorized Official Contact | 9737277409 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Odibo Medical Group Pllc 1215 Medical Center Dr Wilmington NC 28401-7306 Ph: (910) 228-5894 | Odibo Medical Group Pllc 1215 Medical Center Dr Wilmington NC 28401-7306 Ph: (910) 228-5894 |
| NPI Number | 1710334503 |
|---|---|
| Provider Enumeration Date | 05/21/2016 |
| Last Update Date | 10/28/2024 |
| Medicare PECOS PAC ID | 6305130352 |
|---|---|
| Medicare Enrollment ID | O20160815000346 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710334503 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Michael C Odibo |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1144496191 PECOS PAC ID: 4981765104 Enrollment ID: I20160815000550 |
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