Male or Other

Dr. Ibikunle A. Ojebuoboh M.D.

Internal Medicine Physician in Jacksonville, NC(View on Map)

Full Name

Dr. Ibikunle Adeola Ojebuoboh M.D.

NPI Number

1093778276

NPI Type

Individual Provider

Gender

Male

Enumeration Date

04/10/2006

Specialties

(Taxonomies)

Code

207R00000X

Primary Taxonomy

Yes

Licenses

State

North Carolina

License Number

9901455

Contact
Information

Purpose

Mailing
Location

Address

PO BOX 12353
22 OFFICE PARK DR

City

Jacksonville
Jacksonville

State

NC
NC

Postal Code

28546-2353
28546-7325

Country

US
US

Telephone Number

(910) 219-4070
(910) 219-4070

Identifiers

Identifier

89127XA
127XA

Identifier State

NC
NC

Identifier Issuer

Unknown
BLUE CROSS BLUE SHIELD

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 07/28/2008

Provider Address

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