Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 111N00000X | Chiropractor | DC 30405 | CA |
Y | 111NI0013X | Independent Medical Examiner | DC 4093 | SC |
NPI | 1427257906 |
---|---|
Provider Name | Dr. Ekechi Nwoga |
First Address | Aiken, SC 29801-7113 |
Second Address | Aiken, SC 29801-7113 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 13/07/2007 |
Last Update Date | 22/09/2016 |