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Individual

CHINELO OFOMA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
704 GOLD HILL RD, SUITE 207, FORT MILL, SC 29715-8906
(803) 802-5900
(803) 802-7101
Mailing address
704 GOLD HILL RD, SUITE 207, FORT MILL, SC 29715-8906
(803) 802-5900
(803) 802-7101

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
20099
SC
363LP0200X
Pediatric Nurse Practitioner
20099
SC
363LP0200X
Pediatric Nurse Practitioner
26NJ00610800
NJ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
NP3863
SC
Enumeration date
03/08/2016
Last updated
11/11/2016
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