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Organization
CAROLINA CLINICS PA
Active
Organization
CAROLINA CLINICS PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ALFRED E OKEKE MD (OWNER)
(704) 225-0400
Entity
Organization
Contact information
Practice address
710 DEWITT DR, LUGOFF, SC 29078-9069
(803) 233-1730
(704) 296-2743
Mailing address
PO BOX 1689, ETOWAH, NC 28729-1689
(704) 225-0400
(704) 296-2743
Taxonomy
Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
200401288
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5900085
—
NC
Enumeration date
01/08/2007
Last updated
02/15/2011
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