Basic Information
| Provider Information | |||||||||
| NPI: | 1114287380 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | OKIKE | ||||||||
| FirstName: | ONYINYECHI | ||||||||
| MiddleName: | JOY | ||||||||
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| Credential: | MD | ||||||||
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| Mailing Information | |||||||||
| Address1: | 300 E MCBEE AVE FL 4 | ||||||||
| Address2: | |||||||||
| City: | GREENVILLE | ||||||||
| State: | SC | ||||||||
| PostalCode: | 296012842 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8645228614 | ||||||||
| FaxNumber: | 4786337032 | ||||||||
| Practice Location | |||||||||
| Address1: | 701 GROVE RD FL 5 | ||||||||
| Address2: | |||||||||
| City: | GREENVILLE | ||||||||
| State: | SC | ||||||||
| PostalCode: | 296054210 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8644554411 | ||||||||
| FaxNumber: | 8644554480 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 05/22/2012 | ||||||||
| LastUpdateDate: | 04/13/2022 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 04/13/2022 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207R00000X | 005443 | GA | N | Allopathic & Osteopathic Physicians | Internal Medicine | 208M00000X | 34429 | AL | N | Allopathic & Osteopathic Physicians | Hospitalist | 208M00000X | 83794 | SC | N | Allopathic & Osteopathic Physicians | Hospitalist | 207R00000X | E-15098 | AR | Y | Allopathic & Osteopathic Physicians | Internal Medicine |
No ID Information.