Provider Demographics
NPI:1881898187
Name:AGBAFE-MOSLEY, DOROTHY EJINKONYE (MD)
Entity type:Individual
Prefix:DR
First Name:DOROTHY
Middle Name:EJINKONYE
Last Name:AGBAFE-MOSLEY
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 16663
Mailing Address - Street 2:
Mailing Address - City:WILMINGTON
Mailing Address - State:NC
Mailing Address - Zip Code:28408-6663
Mailing Address - Country:US
Mailing Address - Phone:910-799-5452
Mailing Address - Fax:910-799-5479
Practice Address - Street 1:1230 MEDICAL CENTER DR
Practice Address - Street 2:
Practice Address - City:WILMINGTON
Practice Address - State:NC
Practice Address - Zip Code:28401-7332
Practice Address - Country:US
Practice Address - Phone:910-799-5452
Practice Address - Fax:910-799-5479
Is Sole Proprietor?:No
Enumeration Date:2007-06-12
Last Update Date:2015-02-26
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NC2009-01999207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine