Ruth I. Fagbemi M.D
Family Medicine Physician in Fayetteville, NC(View on Map)
Full Name
Ruth Iyun Fagbemi M.D
NPI Number
1013204932
NPI Type
Individual Provider
Gender
Female
Enumeration Date
06/29/2011
Specialties
(Taxonomies)Code
207Q00000X
207R00000X
Primary Taxonomy
Yes
No
Licenses
State
Kentucky
Pennsylvania
Texas
License Number
47498
MT200451
R1524
Contact
Information
Purpose
Mailing
Location
Address
2300 RAMSEY ST
7300 S RAEFORD RD
City
Fayetteville
Fayetteville
State
NC
NC
Postal Code
28301-3856
28304-6162
Country
US
US
Telephone Number
N/A
(910) 475-6185
Identifiers
Identifier
47498
7100314450
Identifier State
KY
KY
Identifier Issuer
LICENSE
Unknown
Provider data last refreshed from NPPES NPI registry on 11/19/2024
Data last updated by provider on 10/17/2019