Individual
DEJI O OKUBOYE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
2021 N MYRTLE POINT BLVD STE 101, NORTH MYRTLE BEACH, SC 29582-2224
(843) 366-2900
Mailing address
PO BOX 890273, CHARLOTTE, NC 28289-0273
(828) 632-7076
(828) 632-7028
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
2008-00736
NC
207Q00000X
Family Medicine Physician
OS9863
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1501F
BCBS OF NC
NC
05
—
5910493
—
NC
Enumeration date
03/02/2007
Last updated
02/24/2026
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