Individual
DR. SAMUEL CHINWUBA OKOYE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5429 ROBINSON ROAD EXT, JACKSON, MS 39204-4138
(601) 914-0163
(601) 914-0170
Mailing address
300 MONTEREY DR, CLINTON, MS 39056-5736
(601) 914-0163
(601) 914-0170
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
13321
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00116178
—
MS
Enumeration date
10/18/2005
Last updated
11/19/2010
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