Individual
CORNELIUS S OKONKWO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
2101 W FRANKLIN BLVD, GASTONIA, NC 28052-1338
(704) 867-8855
(704) 867-1414
Mailing address
2101 W FRANKLIN BLVD, GASTONIA, NC 28052-1338
(704) 867-8855
(704) 867-1414
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
89129N7
—
NC
Enumeration date
08/21/2006
Last updated
07/09/2007
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