Type 2 organization · NPI 1295618106
COVERED BY CHUKWU
101YP1600X · MULLINS, SC
Why this profile is appearing now
Observed change signals
No current public change signal is attached to this profile.
Reported classification
Taxonomies
| Code | Description | Source flag |
|---|---|---|
| 101YP1600X | 101YP1600X | Primary |
| 251B00000X | 251B00000X | Additional |
| 282J00000X | 282J00000X | Additional |
| 374K00000X | 374K00000X | Additional |
| 374T00000X | 374T00000X | Additional |
Taxonomy reporting does not establish licensure, board certification, expertise, or quality.
Longitudinal record
Observed change timeline
- 0 recorded field change s