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Individual

DR. KEISUKE OKAMOTO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
96 JONATHAN LUCAS STREET, SUITE 822, MSC 629, CHARLESTON, SC 29425
(843) 792-9188
Mailing address
96 JONATHAN LUCAS STREET, SUITE 822, MSC 629, CHARLESTON, SC 29425

Taxonomy

Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
LL61317
SC

Other

Enumeration date
08/13/2018
Last updated
08/13/2018
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