Individual
DR. OSITA ANTHONY ONYEKWERE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1129 CHRISTINE AVE, ANNISTON, AL 36207-4657
(256) 237-0025
(256) 237-4795
Mailing address
1129 CHRISTINE AVE, ANNISTON, AL 36207-4657
(256) 237-0025
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
19196
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1518923465
TRICARE
AL
01
—
1750337085
TRICARE / CVC
AL
01
—
51040664
BLUE CROSS BLUE SHIELD OF ALABAMA / ANNISTON OFFICE
AL
01
—
51519294
BLUE CROSS BLUE SHIELD OF ALABAMA / OXFORD OFFICE
AL
05
—
529900890
—
AL
Enumeration date
04/20/2006
Last updated
06/26/2008
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