Provider Demographics
NPI:1891030268
Name:OFOCHE, CHIJIOKE KINGSLEY (MD)
Entity type:Individual
Prefix:
First Name:CHIJIOKE
Middle Name:KINGSLEY
Last Name:OFOCHE
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:805 PAMPLICO HWY STE B300
Mailing Address - Street 2:
Mailing Address - City:FLORENCE
Mailing Address - State:SC
Mailing Address - Zip Code:29505-6081
Mailing Address - Country:US
Mailing Address - Phone:843-673-7529
Mailing Address - Fax:843-673-7532
Practice Address - Street 1:805 PAMPLICO HWY STE B300
Practice Address - Street 2:
Practice Address - City:FLORENCE
Practice Address - State:SC
Practice Address - Zip Code:29505-6081
Practice Address - Country:US
Practice Address - Phone:843-673-7529
Practice Address - Fax:843-673-7532
Is Sole Proprietor?:No
Enumeration Date:2012-12-11
Last Update Date:2024-07-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0101259016207R00000X
MDD0084520207R00000X
SC85774207RC0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0200XAllopathic & Osteopathic PhysiciansInternal MedicineCritical Care Medicine
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine