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Contact Information

CHISOM C IWUEKE
107 TIMBERLINE TRL
NORTH CHARLESTON, SC29418-3067
 Phone: 864-905-4747
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Maternal & Fetal Medicine

207VM0101X 16 Physician/Obstetrics & Gynecology
 

Student in an Organized Health Care Education/Training Program

390200000X
Indicates primary specialty

NPI Profile & details for CHISOM C IWUEKE · (Female)

NPI # 1255759627
Status Active
Credentials
Entity Individual
Enumeration date 04/02/2014
Last updated 09/02/2022 - About 4 years ago
Sole proprietor 1 No
Identifiers
  • GA License # 89076
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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