Individual
MRS. EMILY OKUBO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
200 CALLEN BLVD STE 220, SUMMERVILLE, SC 29486-3162
(843) 724-1950
(843) 724-1958
Mailing address
PO BOX 751649, CHARLOTTE, NC 28275-1649
(888) 472-0043
(843) 724-2440
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
2701
WV
363A00000X
Physician Assistant
Primary
6334
SC
Other
Enumeration date
03/15/2023
Last updated
06/10/2026
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