Individual
DR. EDWIN IYERE OZUA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
222 S HERLONG AVE, ROCK HILL, SC 29732-1158
(803) 324-1950
(803) 324-1933
Mailing address
PO BOX 20003, BELFAST, ME 04915-4095
(843) 606-4731
(803) 327-8505
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
MD0000044854
TN
207R00000X
Internal Medicine Physician
Primary
18749
MS
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
38707
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
06000714
—
MS
Enumeration date
07/28/2006
Last updated
12/09/2019
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