Female

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

Provider Address

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