Individual
BATARE OKIVIE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
877 W FARIS RD, GREENVILLE, SC 29605-4289
(864) 455-7800
Mailing address
877 W FARIS RD, GREENVILLE, SC 29605-4289
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
100168
GA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/08/2021
Last updated
05/30/2024
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