OrganizationActive
Advance Rehabilitation and Nursing
NPI 1306120795 · Family Medicine Physician · Advance, NC
Provider details
- NPI number
- 1306120795
- Entity type
- Organization
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Walter Ezeigbo, Ceo(336) 940-2659
- License
- 9601605 (NC)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
169 Yadkin Valley Rd
Suite 101
Advance, NC 27006-8786
Phone: (336) 940-2659
Approximate (ZIP-level) locationGet directions
Mailing address
5515 Fresh Field Ln
Winston Salem, NC 27106-6262
Registry dates
- Enumerated
- 2011-10-04
- Last updated
- 2011-10-04
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.