Individual
DR. SAMUEL KOFI OSEI OKOH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
701 MEDICAL PARK DR, SUITE 208, HARTSVILLE, SC 29550-4777
(843) 339-3030
(843) 383-0115
Mailing address
701 MEDICAL PARK DR, SUITE 208, HARTSVILLE, SC 29550-4777
(843) 339-3030
(843) 383-0115
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
049961
CT
207RH0005X
Hypertension Specialist Physician
049961
CT
207RN0300X
Nephrology Physician
049961
CT
207RN0300X
Nephrology Physician
Primary
35390
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
008032573
—
CT
01
—
010049961CT02
BCBS
CT
01
—
P01026541
RAILROAD
CT
Enumeration date
06/05/2007
Last updated
08/19/2015
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