Healthcare Provider Details

I. General information

NPI: 1235103102
Provider Name (Legal Business Name): JOHN OBINNA UCHE M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/15/2006
Last Update Date: 05/30/2023
Certification Date: 05/30/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1915 FAIRGROVE CHURCH RD
NEWTON NC
28658-8531
US

IV. Provider business mailing address

1915 FAIRGROVE CHURCH RD
NEWTON NC
28658-8531
US

V. Phone/Fax

Practice location:
  • Phone: 828-468-3980
  • Fax: 828-464-2845
Mailing address:
  • Phone: 828-468-3980
  • Fax: 828-464-2845

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number2016-02140
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: