IndividualActive
Adeima Ibanga
NPI 1013598390 · Family Medicine Physician · Charlotte, NC
Provider details
- NPI number
- 1013598390
- Entity type
- Individual
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Sex
- Female
- Sole proprietor
- No
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Student, Health Care
Practice location
1918 Randolph Rd Ste 350
Charlotte, NC 28207-1111
Phone: (704) 384-1750
Fax: (704) 384-1720
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 60447
Charlotte, NC 28260-0447
Additional practice locations (1)
- 2100 Wescott DrFlemington, NJ 08822-4604Phone: (908) 788-6100
Registry dates
- Enumerated
- 2021-04-18
- Last updated
- 2024-10-14
- Certified
- 2024-10-14
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.