Provider Demographics
NPI:1174198543
Name:AKABUEZE, TIM C
Entity Type:Individual
Prefix:
First Name:TIM
Middle Name:C
Last Name:AKABUEZE
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2801 CARRIAGE MEADOWS DR
Mailing Address - Street 2:
Mailing Address - City:WAKE FOREST
Mailing Address - State:NC
Mailing Address - Zip Code:27587-7048
Mailing Address - Country:US
Mailing Address - Phone:919-606-8653
Mailing Address - Fax:
Practice Address - Street 1:2801 CARRIAGE MEADOWS DR
Practice Address - Street 2:
Practice Address - City:WAKE FOREST
Practice Address - State:NC
Practice Address - Zip Code:27587-7048
Practice Address - Country:US
Practice Address - Phone:919-606-8653
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-05-26
Last Update Date:2021-05-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
No374U00000XNursing Service Related ProvidersHome Health Aide
No385H00000XRespite Care FacilityRespite Care