MEDICARE: EMILIA EGBOCHUE

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
1	175T00000X	Peer Specialist		NC

General Provider Information

NPI Number	:	1699625020
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	EMILIA EGBOCHUE

Provider Business Mailing Address
First Line	:	7327 JERIMOTH DR
Second Line	:
City	:	CHARLOTTE
State	:	NC
Zip	:	28215-7448
Country	:	US
Telephone Number	:	347-556-0482
Fax Number	:

Provider Business Practice Location Address
First Line	:	7327 JERIMOTH DR
Second Line	:
City	:	CHARLOTTE
State	:	NC
Zip	:	28215-7448
Country	:	US
Telephone Number	:	347-556-0482
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/03/2026
Last Update Date	:	02/03/2026

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Directions to “ EMILIA EGBOCHUE ” Practice Location

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