NPI 1609864446 · live from the CMS NPI Registry
Charles K Agunobi, M.D.
Internal Medicine in Duluth, GA. National Provider Identifier 1609864446, active.
NPI record
| NPI | 1609864446 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Internal Medicine 207R00000X |
| Practice location | 3099 Breckinridge Blvd Ste 110, Duluth, GA 30096 |
| Practice phone | 678-242-8035 |
| Enumerated | October 6, 2005 |
| Last updated | July 14, 2021 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Internal Medicine | 207R00000X | 9400694 (NC) |
| Hospitalist | 208M00000X | 9400694 (NC) |
| Hospitalist | 208M00000X | 20751 (SC) |
| Internal Medicine primary | 207R00000X | 38161 (GA) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.