Dr WALTER A EZEIGBO is a male medical professional, specializing in Family Medicine. He graduated in 1992 from Eastern Virginia Medical School.
ADVANCE FAMILY AND SPORTS MEDICINE CENTER, PLLC
1000 SOUTHPARK BLVD A
WINSTON SALEM
NC
271275072
Tel: 3367884545
| Npi | 1306839659 |
| Pac Id | 1052482379 |
| Professional Enrollment Id | I20080613000474 |
| Last Name | EZEIGBO |
| First Name | WALTER |
| Middle Name | A |
| Suffix | |
| Gender | M |
| Credential | |
| Medical School Name | EASTERN VIRGINIA MEDICAL SCHOOL |
| Graduation Year | 1992 |
| Primary Specialty | FAMILY MEDICINE |
| Secondary Specialty 1 | SPORTS MEDICINE |
| Secondary Specialty 2 | |
| Secondary Specialty 3 | |
| Secondary Specialty 4 | |
| All Secondary Specialties | SPORTS MEDICINE |
| Organization Legal Name | ADVANCE FAMILY AND SPORTS MEDICINE CENTER, PLLC |
| Group Practice Pac Id | 9537351440 |
| Number Of Group Practice Members | 3 |
| Line 1 Street Address | 1000 SOUTHPARK BLVD A |
| Line 2 Street Address | |
| Marker Of Address Line 2 Suppression | |
| City | WINSTON SALEM |
| State | NC |
| Zip Code | 271275072 |
| Phone Number | 3367884545 |
| Hospital Affiliation Ccn 1 | 340047 |
| Hospital Affiliation Lbn 1 | NORTH CAROLINA BAPTIST HOSPITAL |
| Hospital Affiliation Ccn 2 | 340014 |
| Hospital Affiliation Lbn 2 | NOVANT HEALTH FORSYTH MEDICAL CENTER |
| Hospital Affiliation Ccn 3 | |
| Hospital Affiliation Lbn 3 | |
| Hospital Affiliation Ccn 4 | |
| Hospital Affiliation Lbn 4 | |
| Hospital Affiliation Ccn 5 | |
| Hospital Affiliation Lbn 5 | |
| Professional Accepts Medicare Assignment | Y |
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