Provider Demographics
NPI:1386778512
Name:OKEREKE, NENE NWAOBIARA NICOLE (MD)
Entity type:Individual
Prefix:
First Name:NENE
Middle Name:NWAOBIARA NICOLE
Last Name:OKEREKE
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 519
Mailing Address - Street 2:CEDARS MEDICAL CLINIC
Mailing Address - City:SUMTER
Mailing Address - State:SC
Mailing Address - Zip Code:29151-0519
Mailing Address - Country:US
Mailing Address - Phone:803-774-7000
Mailing Address - Fax:803-434-4419
Practice Address - Street 1:325 W LIBERTY ST
Practice Address - Street 2:CEDARS MEDICAL CLINIC
Practice Address - City:SUMTER
Practice Address - State:SC
Practice Address - Zip Code:29150-5139
Practice Address - Country:US
Practice Address - Phone:803-774-7000
Practice Address - Fax:803-434-4419
Is Sole Proprietor?:No
Enumeration Date:2007-03-16
Last Update Date:2008-11-24
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
SCLL 27318207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine