Individual
DR. ENI CLEMENT OKONOFUA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.B.,B.S.
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
21076
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
134323946
BCBS OF SC
SC
05
—
T53518
—
SC
Enumeration date
06/19/2006
Last updated
10/01/2019
Update your record
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