NPI 1255383428 · live from the CMS NPI Registry
Martin Kwaku Agbemabiese, M.D.
Hospitalist in Winston Salem, NC. National Provider Identifier 1255383428, active.
NPI record
| NPI | 1255383428 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Hospitalist 208M00000X |
| Practice location | 3333 Silas Creek Pkwy, Winston Salem, NC 27103 |
| Practice phone | 336-718-7080 |
| Mailing address | Po Box 60447, Charlotte, NC 28260 |
| Enumerated | May 16, 2006 |
| Last updated | December 15, 2020 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Internal Medicine | 207R00000X | 32239 (SC) |
| Internal Medicine | 207R00000X | 200600313 (NC) |
| Hospitalist primary | 208M00000X | 2006-00313 (NC) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.