Walter A Ezeigbo
ADVANCE FAMILY AND SPORTS MEDICINE CENTER, PLLC


Address: 1000 Southpark Blvd A, Winston Salem, NC 27127-5072
Phone: 3367884545

Walter A Ezeigbo (NPI# 1306839659, PAC ID# 1052482379) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.

Physician Overview

Nation Provider ID (NPI) 1306839659
PAC ID by PECOS 1052482379
Professional Enrollment ID I20080613000474
Full Name Walter A Ezeigbo
Organization Legal Name ADVANCE FAMILY AND SPORTS MEDICINE CENTER, PLLC
Address 1000 Southpark Blvd A
Winston Salem
NC 27127-5072
Phone Number 3367884545
Gender M
Medical School EASTERN VIRGINIA MEDICAL SCHOOL
Graduation Year 1992
Primary Specialty FAMILY MEDICINE
Secondary Specialties SPORTS MEDICINE
Group Practice PAC ID 9537351440
Number of Group Practice Members 3
Accepts Medicare Assignment Y

Other Locations

Address Phone Organization
1000 Southpark Blvd A, Winston Salem, NC 27127-5072 3367884545 ADVANCE FAMILY AND SPORTS MEDICINE CENTER, PLLC

Organization Information

Organization Legal Name ADVANCE FAMILY AND SPORTS MEDICINE CENTER, PLLC
Physicians 4

Physicians with the same organization

Name Specialty Organization Address
Mary H Ameh Nurse Practitioner Advance Family and Sports Medicine Center, Pllc 1000 Southpark Blvd A, Winston Salem, NC 27127-5072
Kristen Puhlman Registered Dietitian Or Nutrition Professional Advance Family and Sports Medicine Center, Pllc 1000 Southpark Blvd A, Winston Salem, NC 27127-5072
George David Edenfield Sr. Physician Assistant Advance Family and Sports Medicine Center, Pllc 1000 Southpark Blvd A, Winston Salem, NC 27127-5072

Office Location

Street Address 1000 SOUTHPARK BLVD A
City WINSTON SALEM
State NC
Zip 27127-5072

Physicians in the same location

Name Specialty Organization Address
Mary H Ameh Nurse Practitioner Advance Family and Sports Medicine Center, Pllc 1000 Southpark Blvd A, Winston Salem, NC 27127-5072
Kristen Puhlman Registered Dietitian Or Nutrition Professional Advance Family and Sports Medicine Center, Pllc 1000 Southpark Blvd A, Winston Salem, NC 27127-5072
George David Edenfield Sr. Physician Assistant Advance Family and Sports Medicine Center, Pllc 1000 Southpark Blvd A, Winston Salem, NC 27127-5072

Physicians in the same zip code

Name Specialty Organization Address
Grant R Wright Chiropractic 2022 S Main St, Winston Salem, NC 27127-2934
Mark D Winyard Chiropractic 204 Fair Oaks Ln, Winston Salem, NC 27127-3178
Kelly Gerrity Physical Therapy Benchmark Physical Therapy of North Carolina LLC 5054 Peters Creek Pkwy, Suite 18, Winston Salem, NC 27127-7276
Allison Michelle Brewer Nurse Practitioner Novant Medical Group Inc 5010 Peters Creek Pkwy, Winston Salem, NC 27127-7276
Katrina C Romblad Physician Assistant Novant Medical Group Inc 5010 Peters Creek Pkwy, Winston Salem, NC 27127-7276
Kimberly B Wright Physician Assistant Novant Medical Group Inc 5010 Peters Creek Pkwy, Winston Salem, NC 27127-7276
Erica R Robbins Nurse Practitioner Novant Medical Group Inc 5010 Peters Creek Pkwy, Winston Salem, NC 27127-7276
Abigail Fairchild Bagliani Physician Assistant Novant Medical Group Inc 5010 Peters Creek Pkwy, Winston Salem, NC 27127-7276
Melanie Lisa Stanek Physician Assistant Novant Medical Group Inc 5010 Peters Creek Pkwy, Winston Salem, NC 27127-7276
Sue E Singh Physician Assistant Novant Medical Group Inc 5010 Peters Creek Pkwy, Winston Salem, NC 27127-7276
Find all physicians in zip 27127

Competitor

Search similar physicians

City WINSTON SALEM
Zip Code 27127
Specialty FAMILY MEDICINE
City + Specialty WINSTON SALEM + FAMILY MEDICINE

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS)
Jurisdiction Medicare

This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.

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