Abraha, Surafeal Ghedamu

Abraha, Surafeal Ghedamu is an individual health care provider with primary practice located at 500 Jefferson St , Whiteville NC 28472-3634. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Abraha, Surafeal Ghedamu can be contacted via phone (910) 642-1776.

Contact Information

Primary practice address
500 Jefferson St Whiteville NC 28472-3634
Phone: (910) 642-1776
Fax: (910) 642-9305
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 2007-00035 North Carolina

Profile Details

NPI number 1306930631
LBN Legal business name Abraha, Surafeal Ghedamu
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 3rd, 2006
Last updated Nov 4th, 2016 - about 8 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1306930631 NPPES
South Carolina MEDICAID NC2273
South Carolina MEDICAID 1306930631

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