Agunobi, Charles K
Agunobi, Charles K is an individual health care provider with primary practice located at 3099 Breckinridge Blvd Ste 110 , Duluth GA 30096-1011. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Hospitalist. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Agunobi, Charles K can be contacted via phone (678) 242-8035.Contact Information
Primary practice address
3099 Breckinridge Blvd Ste 110
Duluth GA 30096-1011
Phone: (678) 242-8035
Fax: (678) 373-1645
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 9400694 | North Carolina |
| Allopathic & Osteopathic Physicians / Hospitalist | 208M00000X | 9400694 | North Carolina |
| Allopathic & Osteopathic Physicians / Hospitalist | 208M00000X | 20751 | South Carolina |
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 38161 | Georgia |
Profile Details
| NPI number | 1609864446 |
|---|---|
| LBN Legal business name | Agunobi, Charles K |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 6th, 2005 |
| Last updated | Jul 14th, 2021 - about 3 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1609864446 | NPPES |
| South Carolina | MEDICAID | N0069A | |
| South Carolina | MEDICAID | 8910429 |
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