Individual
JUN KOIKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2845 E HIGHWAY 76, SUITE 3, MULLINS, SC 29574-6037
(843) 431-2740
Mailing address
2845 E HIGHWAY 76, SUITE 3, MULLINS, SC 29574-6037
(843) 431-2740
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
30527
SC
207V00000X
Obstetrics & Gynecology Physician
Primary
57505
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
305271
—
SC
01
—
GP5462
GROUP MEDICAID
SC
Enumeration date
07/15/2007
Last updated
10/10/2013
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