Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RE0101X | Endocrinologist (Diabetes Doctor) | 200401288 | NC |
NPI | 1093753436 |
---|---|
Provider Name | Alfred E Okeke |
First Address | Morrisville, NC 27560-8442 |
Second Address | Goldsboro, NC 27534-9414 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 04/06/2006 |
Last Update Date | 09/08/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
H21095 | (02) |