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NPI Code Detail

MEDICARE: CHARLES OKERYE PEPRAH

MEDICARE:   CHARLES OKERYE PEPRAH
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1367500000XCertified Registered Nurse Anesthetist0024164694VA
2367500000XCertified Registered Nurse AnesthetistRN66454DC

Other Identifiers

General Provider Information

NPI Number : 1225048507
Entity Type Code : Individual
Provider Name (Legal Business Name) : CHARLES OKERYE PEPRAH
Provider Business Mailing Address
First Line : 3100 SPRING FOREST RD
Second Line :
City : RALEIGH
State : NC
Zip : 27616-2880
Country : US
Telephone Number : 919-873-9533
Fax Number : 540-741-7615
Provider Business Practice Location Address
First Line : 3100 SPRING FOREST RD
Second Line :
City : RALEIGH
State : NC
Zip : 27616-2880
Country : US
Telephone Number : 919-873-9533
Fax Number : 540-741-7615
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/09/2006
Last Update Date : 03/16/2016

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Directions to “ CHARLES OKERYE PEPRAH ” Practice Location

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