# CAROLINA DIAB ENDOCR CLINI

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1538336979
- **Authorized official:** DR. ALFRED E OKEKE MD (OWNER)
- **Authorized official phone:** (704) 225-0400

## Contact information

- **Practice address:** 710 DEWITT DR, LUGOFF, SC 29078-9069
- **Practice address phone:** (803) 233-1730
- **Practice address fax:** (803) 233-3784
- **Mailing address:** PO BOX 947, MONROE, NC 28111-0947
- **Mailing address phone:** (704) 225-0400
- **Mailing address fax:** (704) 296-2743

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207RE0101X | Endocrinology, Diabetes & Metabolism Physician | 22076 | SC | Yes |

## Other

- **Enumeration date:** 05/14/2008
- **Last updated:** 05/14/2008