Healthcare Provider Details

I. General information

NPI: 1447246566
Provider Name (Legal Business Name): PATIENCE EKUATINNE REICH MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: PATIENCE R AGBORBESONG MD

II. Dates (important events)

Enumeration Date: 09/23/2005
Last Update Date: 03/06/2025
Certification Date: 03/06/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

207 OLD LEXINGTON RD
THOMASVILLE NC
27360-3428
US

IV. Provider business mailing address

PO BOX 60447
CHARLOTTE NC
28260-0447
US

V. Phone/Fax

Practice location:
  • Phone: 336-474-3444
  • Fax: 336-277-9183
Mailing address:
  • Phone: 336-474-3444
  • Fax: 336-277-9183

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number200001049
License Number StateNC
# 2
Primary TaxonomyY
Taxonomy Code208M00000X
TaxonomyHospitalist Physician
License Number20000-1049
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: