Individual
DR. IKENNA F ONYEBUEKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2030 N CHURCH STREET PL, SPARTANBURG, SC 29303-2706
(864) 582-6858
Mailing address
2030 NORTH CHURCH PLACE, SPARTANBURG, SC 29303
(864) 582-6858
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
247177
NY
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
33426
SC
207RP1001X
Pulmonary Disease Physician
33426
SC
Other
Enumeration date
05/22/2008
Last updated
12/16/2015
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