Healthcare Provider Details

I. General information

NPI: 1033045083
Provider Name (Legal Business Name): ADUMABBA INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/18/2026
Last Update Date: 06/18/2026
Certification Date: 06/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2313 COMFREY CT
CHARLOTTE NC
28213-9282
US

IV. Provider business mailing address

2313 COMFREY CT
CHARLOTTE NC
28213-9282
US

V. Phone/Fax

Practice location:
  • Phone: 704-309-7852
  • Fax:
Mailing address:
  • Phone: 704-309-7852
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code343900000X
TaxonomyNon-emergency Medical Transport (VAN)
License Number
License Number State

VIII. Authorized Official

Name: CHIAGOZIE AGBAI
Title or Position: CEO
Credential:
Phone: 704-309-7852